Permit Plumbing 1085 Atlantic Blvd Bldg 4 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00001804 Date 12/12/12
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 4
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 ,
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Application desc
10 water heaters for bldg 4
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Owner Contractor
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1085 ATLANTIC LLC ADVANTAGE PLUMBING
5118 N 56TH ST 880 MAYPORT RD
TAMPA FL 33610 P.O. BOX 49225
JACKSONVILLE BEACH FL 32240
(904) 247-9848
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/10/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV 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
JOB ADDRESS: C' /3) PERMrr#
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 Fi=RE 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 C3 Back Flow Preventer 11 Grease Interceptor(Trap) gallons(Requires 3 sets of pbns)
• Lawn Sprinkler System-Nurnber of Heads [I Well
**SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
13 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 ofconstruction.
Property Owners Name L")(A��2 '4imec Phone Number
Plumbing Company A Office Phone !Z�Fax_c2_ZZ
Co. Address: e��r State 44L zip'.�>_'>_z�a
city
License Holder(Print): ertification/Registration#
Nota -1 11!fA er
SHIRLEY L.GRAHAM 'V
MYCOMMISSION#DD957760 20
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EXPRES:February 14,2014 worn and subscrihe�efore, h'
Bonde, rin Notary Public Underwriters,
d
ignature of Notary Public