2009 Vela Norte PLRS18-0231 „ . . CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEU DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: PLRs16-0231
Deuription:
Estimated Value: 2450
Issue Date: 9/28/2016
Expiration Date: 3/27/2019
PROPERTY ADDRESS:
Address: 2009 VELA NORTE CIR
RE Number: 169506 1110
PROPERTY OWNER:
Name: Kevin Bridger
Address: 2009 VELA NORTE CIR
JACKSONVILLE, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Jacksonville Plumbing Co
Address: 5836 Old Timuquana Road
Jacksonville, FL 32210-7877
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts state agencies or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904))247-5845 I$O2$$
JOB ADDRESS: mop—TE l_'- CS-E PERMIT#VLFS1&-,6231
NEW OR REPLACEMENT INSTALLATION: Project Value$ x,1456
TYPE oFFIXTORE QTY TYPE oFFIXTORE QTY
Bathtub c2 Septic Tank&Pit
Clothes Washer 1 Shower J—
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram Three Compartment Sink
Floor Sink Toilet _� 1
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray :JFWater Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFIxTuRE QTY TYPE oFFIXTORE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
D Sewer Replacement D Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
D Lawn Sprinkler System-Number of Heads D Well **
**SLRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
D Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �SFa(�a Phone Number
Plumbing Company 1-f3G. cc. Office Phone -n-I' Sq6co Fax-1l4-5$94
Co. Address:553(, 0�0 1rr,...�_ Pa eO City Ty . State F_, zip 3�10
License Holder(Print):^Trc¢-t2j lea k State CeftificaticivRegistration# C.P CC+4 17$6
Notarized Signature of LicensYJjy/der
at ot> 18
�aicsntm+ worn and subscri efo me this z ay of Ce 1 �C!/ 20
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_�,p Evm sel"a"i r5'220r„2s,,, ignature of Notary Put �1f1.CU L