Loading...
1810 Sevilla Blvd #104 PLRS18-0054 shower pan permit r'lf c', ' ' \, CITY OF ATLANTIC BEACH -:- ,,' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �' -f-.0.7119f' INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0054 Description: SHOWER PAN Estimated Value: 0 Issue Date: 2/26/2018 Expiration Date: 8/25/2018 PROPERTY ADDRESS: Address: 1810 SEVILLA BLVD 104 RE Number: 169399 0510 PROPERTY OWNER: Name: ROSS DONNA W Address: 171 KAHIKI DR PLANTATION KEY, FL 33070 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PROFESSOR PLUMB Address: 1015 ATLANTIC BLVD APT 247 ATLANTIC BEACH, FL 32233 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 fax (904)247-5845 P LRSL 8 _0 JOB AUDRFSS: /Cr(') SI,/ /4- , i v0i p,,,i- /o PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE Qtr Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan ____Z____ 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 RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE 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: 0 Sewer Replacement ü Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads [1 Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** 0 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 lime 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 docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. DONProperty Owners Name iC,/o,vAi R Ic d 5S Phone Number 907-2Z4-77dd Plumbing Company Aa�'�55o re. /9/vr'.4 Office Phone 270-22 46 Fax Co. Address: J0/.5-/9741.41,/,4_ /j4,1/ $4.0 y? City 6 State 1? Zip 50z5, License Holder(Print): • a. t 1 A E I, State Certification/Registration# C-f' /ve 7 o z Z Notarized Signature of License Holder ....7:477)---,t, r Fp TONT GINDLESPERGERBefore me this Z�tiay of P • _�. 20 ��,4 i MY COMMISSION Y FF 92019 _ Signature of NotaryPublic 11, 951 . ""�; EXPIRES:October 6,2019 g -..� "f•p d•• Bonded Thni Notary Public Underwriters