PLRS18-0150 '�51 , "�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL-
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0150
Description: 20 FIXTURES
Estimatedvalue: 5200
Issue Date: 6/18/2018
Expiration Date: 1Z/15/2018
PROPERTY ADDRESS:
Addrew: 317 2ND ST
RE Number. 1697790100
PPOPERTYOWNER:
Name: JEFF GIVINS
Address: 3100 THOMPSON RD
TELFORD, PA 18969
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SUNSHINE STATE PLUMBING
Address: 1340 TRAILWOOD DR MICHAEL TROY PORTER
NEPTUNE BEACH. FL 32266
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 my
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 Firs(904) 247-5845
JoBADDRESS:-31? .9 L*ua PERMIT N
NEW OR REPLACEMENT INSTALLATION: Project Value APAO-Op—
TYPEOFFATURE QTY TYPEotFixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures /1 0 Water Treating System
RIE-PIPE: TYPEOFFixTURE QTY TYPE OF FixTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer t Shower
Dishwasher Shower Pan
Drinking Fountain 4k__ Slop Sink WX
Floor Drain WA Three Compartment Sink
Floor Sink AYA Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers J*
Laundry Tiny AIA_ Water Connected Appliances
Lavatory Water Heater
Other Fixtures 16E Water Treating System
MISCELLANEOUS:
o Sewer Replacement 0 Back Flow Preventer o Grease Interceptor(Trup) gallons(Requires 3 sets of plans)
El Lawrt Sprinkler System-Number of Heads El Well
**SJ,RWD Well Completion Form. Completed—fonn to be submitted to t1we B-uilding Department for final inspection."
Ei Other
permit becomes void if wokdocs not commence within a six month period or work is suspended or abandoned for six months I hembyeeftify that I have mad
this application and know the same to be me and correct. All previsions of laws and ordinances goveming this work will be complied with whether specified
or not. ne permit does not give muhraft, to violate the previsions of any other state or local law regulation construction or the performance of construction.
ProperLyOwnersName Jeff a-WAIS PhoneNumber
Plumbing Company Sunshine State Plumbing Office Phone
_204-262-1066 Fax 904-262-0358
Co. Address: 71OHainesStmet City Jacksonville State Fl, Zip 32202
License Holder(Print): Michael T. Porter State Certification/Registration# QFC 1426859
Notarized Signature of License Holder
'o, * UNAMRDICKERSON Swom and subscribed before me th' d[hy of 'Juc 201,e
*P,..- . commission#GG10032 Signature of Notary Public
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