2244 Beach comber Trl 2013 plumb CITY OF ATLANTIC BEA(311
J 800 SEMINOLE ROAD
s) ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J
Application Number •
13-00003450 Date 9/26/13
Property Address . . . . . . 2244 BEACHCOMBER TR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . 0
----------------------------
Application desc
3 fixture
---------------------------
Contractor
Owner
------------------------
----------------
WOLF ADAM H & DANIELLE ADVANTAGE PLUMBING
2244 BEACHCOMBER TRL P O BOX 49225
ATLANTIC BEACH FL 322334566 JACKSONVILLE BEACH FL 32240
(904) 247-9848
------------------- --------------------------------------------------
Permit
. PLUMBING PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 76 . 00 0
Valuation •
Issue Date • • • . 3/25/14
Expiration Date -------------
2 . 00
Other Fees STATE PLBG DCA SURCHARGE2 . 00
• • STATE PLBG DBPR SURCHARGE
---------------------------------------Paid------Credited
Due
Fee summary Charged
--------- ----- . 0 76 . 00
7600 . 00
Permit Fee Total 76 . . 00 . 00. 00 . 00
Plan Check Total 400 . 00 . 00
.
Other Fee Total 4 . 00 00 . 00
Grand Total 80 . 00 80 . 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
JOB ADDRESS: C��1C �� 1� PERMIT#
NEW O REPLACEMENT INSTALLATION Project Value$
TYPE OF IXTURE 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
LavatoryWater Heater
Other Fixtures �`7� j-00_14/' 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 ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD 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.
���� Phone Number
Property Owners Name / ,
Office Phone C Fax v I
Plumbing Company � �y�
�` 9./ State )-Zip
Co. Address: City (),\4-
License
v4License Holder(Print): Y' ;
(,�,(,{ tate Certification/Registration#
Notarized Signature of License Holder
Sworn and subsc 'bed efore me this � aY of 20�
wj' "wWL
Ltoa'IZ+I :S3HIdX3 : Signature of Notary Public
: _
40=_-W#NOISSWrWOO AW "�