2247 Beach comber 2014 Plumb CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
w j ATLANTIC BEACH, FL 32233
PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
i ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA
o - -
Job Type: PLUMBING ONLY
Description: INSTALL 6 FIXTURES
Estimated Value:
Issue Date: 9/23/2014
Expiration Date: 3/22/2015
PROPERTY ADDRESS:
Address: 2247 BEACHCOMBER TR
RE Number: 169463-0164
PROPERTY OWNER:
Name: BURGIN, CHRISTOPHER & LAURA,
Address: 2247 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: DON HARRIS PLUMBING CO.,INC.
Address:
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $42.00
Trade Permit Base Fee $55.00
Total Payments: $101.00
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
h(904) 247-5826 Fax (904) 247-5845
41 14dkj eh JOB ADDRESS: ,Z2- 20mb —
PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower T
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 Z 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
**SIRWD 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.
Property Owners Name e an 7RJ4_C-770Phone Number 9,04' 611/1�16
Plumbing Company Don H tris Plumbing Co., Inc. Office Phone 77,z-�9b9 Fax 7 "2-3gg
Co. Address: �"7`(�,2 q �IAI`l D//JG V D City �L/7/�- State Zip ���¢¢�
License Holder(Print): rseHolder
r State Certification/Registration# d�l?qKl,
Notarized Signature of LLam,.
KIM BUTLER7rn and sub ribe efore this Z day of C�BC/L 20�
., Commission#FF 030749
,' Expires October 25,20» Signature of Notary Public
Bonded Thru Troy fain huwance M385.7018