532 ATLANTIC BEACH CT PLUMBING j�11yi'j ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-1145
Job Type: PLUMBING ONLY
Description: 32 FIXTURES NEW SERVICE
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 532 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TROY TRAWICK PLUMBING CO, INC
Address: 6228 LOTTIE ST CIA JOHN TROY TRAWICK
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $224.00
Trade Permit Base Fee $55.00
Total Payments: $283.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
nnPh(904)247-582;67 Fax (904)247-5845
JOB ADDRESS: e� 3 Z rt B PACA c_4-- PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer 7 Shower
Dishwasher _1— Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toile[ ^
Hose Bibs T Urinal
Kitchen Sink Z Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 0 Water Heater z
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFixTuRE QTY TYPEOFFIXTURE 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 ❑ Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads D Well
**SJRWD 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"a and coact 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 cunstmdion or the performance of construction.
Property Owners Name Phone Number
Plumbing Company Toy 'r/9w1 t K-P/ur,b t' e Ca, Office Phone 7 Z7-84UU Fax 7 Z l-8'Ilr�
Co. Address: 2 470 Gar-FGZ kd City SvJf StateY'L Zip 32-z Y6
License Holder(Print): T lZfit -LlC State Certification/Registration# LFc/y26o`)7
Notarized Signature oJLieense Holder
pan noanaeiasaaaram, me this a,
dof l7 201_
a Shirley l Graham
Eofn ieMa.Si lure of Notary P0 U
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