2310 beachcomber Tr 2014 plumb `f CITY OF ATLANTIC BEACH
s1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
_ PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
ALJ , ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-PLBG-347
Job Type: PLUMBING ONLY
Description: INSTALL 1 WATER HEATER
Estimated Value:
Issue Date: 10/30/2014
Expiration Date: 4/28/2015
PROPERTY ADDRESS:
Address: 2310 BEACHCOMBER TR
RE Number: 169463-0066
PROPERTY OWNER:
Name: CRUISE, JOSEPH F & ELENI,
Address: 2310 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: Inc, Er Rooter
Address: 6214 Thumper ST
Phone: 904-300-3422
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(90L4) 247-5826 Fax (904)247-5845
JOB ADDRESS: Z 3 D �e�A Co M , 'V' -6- PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FIXTURE QTY TYPE of FIXTDRE 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 ❑ 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
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 TOS��✓�i ,,[[ f C fy/Sf Phone Number 9'0'f Z W?a
Plumbing Company e-A {ono/Pi /N Office Phone Q'0V 3 00,� S/2 ZFax
Co. Address: 5-140 71 &,A-0, 1ZQSte. Z City JW-kso,���-e State l� Zip 3 Z Z�i3
License Holder(Print): �L!�`o "`S State Certification/Registration# CF6 14`2 Q 162
Notarized Si nature oLicense older
,oii�+:'^y .,i JENNIFER WALKER Before m y o 20
MY COMMISSION#FF 0114&J
EXPIRES:Apd124,2017
Bonded Thru Notary Public Underwriters Signature o Notary Public