328 2nd ST - PLUMBING (....I.M:r e
.."„itl"% CITY OF ATLANTIC BEACH
' s> 800 SEMINOLE ROAD
\,� ~ ATLANTIC BEACH, FL 32233
J;i �% INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0069
Description: SHOWER PAN
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 328 2ND ST
RE Number: 169761 0070
PROPERTY OWNER:
Name: OCEAN BREEZE LLC
Address: 730 BROOKS AVE
CINCINNATI, OH 45215-2642
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: B & G PLUMBING CO., INC.
Address: 2232 CORPORATE SQUARE BLVD 2232 CORPORATE
SQUARE BLVD
JACKSONVILLE, FL 32216
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.
* 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 p
Ph(904) 247-5826 Fax (904) 247-5845 f L !\Si 7--00(c)5
Er,
JOBADDRSS: 318 2n si r- PERniIT# J
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY ,, TYPE OF FIXTURE QTY
Bathtub ' Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan I
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
[-lose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Sewer Replacement [1 Back Flow Preventer I Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads LI Well **
**SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
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 KpitE,-) L,aGn ROE Phone Number
Plumbing Company ao& PlvMet..x, O. Office Phone ,t13-3585 Fax a13-315o
Co. Address: ,24131 ColtPoILRTE Sck glvA City 7/41( State F( Zip 3aas(
License Holder(Print): G€,.iE c. tov kg State Certification/Registration#cFC4 12 491
Notarized Signature of License Holder m e-rrf
A-
LORI S.NOROGREN Sworn and subscribed before is l day of ���GU 20 I1
;,; –ittNy Notary Public-Stale of florid& . "
—trametta j
Commission r FF 947336 Signature of Notary Public ld
•. 40 My Comm.Expires Mar 10.2020
2,.'!-.r,n•ough National Notary Assn.