2325 Seminole Rd 2014 plumb CITY OF ATLANTIC BEACH
Sy 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
_ PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
�!J CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
B INF RMATION:
Job ID: 14-PLBG-372
Job Type: PLUMBING ONLY
Description: 4 fixtures
Estimated Value:
Issue Date: 11/5/2014
Expiration Date: 5/4/2015
PROPERTY ADDRESS:
Address: 2325 SEMINOLE RD
RE Number: 168908-1208
PROPERTY OWNER:
Name: TANNER, MARCIA JEAN
Address: 2325 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: EAGERTON PLUMBING CO.
Address: 1093 N MCDUFF QA NONE SEE NOTE
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $28.00
Trade Permit Base Fee $55.00
Total Payments: $87.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
OB ADDRESS: �Z� �/^^+•o k �
PERMIT# U�0
EW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE QTY TYPE oFFIXTURE QTS'
Bathtub 1, Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Z Water Heater
Lavatory Water Treating System
Other Fixtures
tE,-PIPE:
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Septic Tank&Pit
Bathtub
Shower
Clothes Washer
Shower Pan
Dishwasher
Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MSCELLANEOUS: allons(Requires 3 sets of plans)
i Sewer Replacement ❑ Back Flow Preventer ❑ Grease In
(Trap) ** g
ii Lawn Sprinkler System-Number of Heads
❑ Wellection.**
k* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final insp
D Other
r six
s.I hereby certify
t I have
errmt
becomes void if work does not commence within a six month period or work is suspended or abandoned
work will beco plied with whether specified
his application and know the same to be true and correct. All provisions of laws and ordinances governing
)r 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.
C'C% e r ��rC� ea Phone Num
ber Property Owners Name-
Plumbing Company '�
P f/a'� �l6 (o -- Office Phone G ou 3S5.6-161-Fax X04 388 7
3 Al /]/l !�k rfrlw'� City J-4 State EL Zip S
Co. Address: i _ a G 41
rint): . ®�1 G _ State Certification/Registration# '
License Bolder (r
Notarized Signature of License Holder goo �
dfufatol ffof.fMEs worn and subscribed before me this
S day of N o Yen be r 20 19
x '�°. Notary Public-State of Florida
My Comm.Expires Jun 20.2018 gnature of Notary Public
Commission N FF 100744