The URL can be used to link to this page

1890 Beach Ave plumb 2014 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PLUMBING PERMIT INSPECTION PHONE LINE 247-5814 CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-PLBG-163 Job Type: PLUMBING ONLY Description: 5 fixtures Estimated Value: Issue Date: 10/8/2014 Expiration Date: 4/6/2015 PROPERTY ADDRESS: Address: 1890 BEACH AVE RE Number: 169542-0602 PROPERTY OWNER: Name: SUMNER, WILLIAM D & DEBORAH F, Address: 1890 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: TURNER PLUMBING CO. Address: Phone• - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 F J Ph(904)247-5826 Fax (904) 247-5845 .JOB ADDRESS: 1 j � � ',�ti � �J � r PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 Zi 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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other S 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 S LA_rh ^`C,,✓ Phone Number Plumbing Company 1 c� ' �—��r L F -� Office Phone 39(-=T�`144 Fax 39 G—?JJ-G � � w-�^ Co. Address: a H-��.Q✓l` s Q 9* City State Zip 3 V o �-� Certification/Registration istration# �-F d�- Z9_74-w License Holder(Print): a�� .-_.,State Certig Nota ' adUzAature of License Holder J ALMR efore me this '3kNay of D C� 20y� JENNIFER W MY COMMISSI EXPIRES: ONOFF011480 aw4e6 Thru Nota`pu 24'x17 ignature of Notary Public N PubRC U ldmwM.m