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383 Plaza 2014 plumb �t CITY OF ATLANTIC BEACH �? 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-32 Job Type: PLUMBING ONLY Description: INSTALL 6 FIXTURES Estimated Value: Issue Date: 1/9/2015 Expiration Date: 7/8/2015 PROPERTY ADDRESS: Address: 383 Plaza RE Number: 170020-0000 PROPERTY OWNER: Name: OBRIEN, CHRIS R Address: 383 PLAZA GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE PLUMBING Address: 880 MAYPORT RD QA GREG GAUSE 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: $101.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION (15r CITY OF ATLANTIC BEACH ry 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904) 247-5845 JOB ADDRESS: � �j I gS P[1) Z q PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 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 ** **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. Property Owners Name Phone Number Plumbing Company,210 61` ANMa/T/6 Office Phone,4177 Co.Address: g� /A/ �� �_)Qd City ___�c�l State�Zip�D 33 License Holder(Print): - C 4,aS State Certifi �*n/Registration# 6cej q--116YT q Notarized Signature of License Holder Sworn and subscriore me s�_day ofsubscribed20 JULIE YOUNG CHRISTY MY COMMISSION#FF005505 Signature of Not Public EXPIRES:Jury 21,2017 gn ' Bonded Tluu Notary Pudic UndeirritersLJ