Permit Plbg 299 S Nautical 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002912 Date 11/17/11
Property Address . . . . . . 299 S NAUTICAL BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6 fixtures replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CASTLE CORP . PLUMBING BY JOSH
299 NAUTICAL BLVD. 5677 FLORAL AVE
ATLANTIC BEACH FL 32233 CALLAHAN FL 32011
(904) 745-3330
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 97 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/1S/12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97 . 00 97 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 00 101 . 00 . 00 . 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
Ph(904) 247-5826 Fax (904) 247-5845
'��99 '61-vd S
JOB ADDRESS: --' PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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
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:
* Sewer Replacement i:i Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
* Lawn Sprinkler System-Number of Heads Li Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
Li 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 zC_A572 oF TqcA(Sc,4V)71(Phone Number M-66 0 7
Plumbing Company ;V,)C__ Office Phone?qr-33;3 0—Fax
Co. Address: '5� 72 At)c- City StateF
�L zip J
License Holder(Print): —7-Y 94 4 A__(�O r2-Tf t Ale Wrtification/Registration 54
Notarized Signatu S� GPAMHA
EXpIR :FebruarYl 2014
ICA Icribed b thV__� A d o 6 V FA4!5 —20
Bonded T fore me 7
Signature of Notary Public