510 Royal Palms Dr 2014 Plumb J
Sit
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: 14-PLBG-652
Job Type: PLUMBING ONLY
Description: INSTALL BATHTUB
Estimated Value:
Issue Date: 12/15/2014
Expiration Date: 6/13/2015
PROPERTY ADDRESS:
Address: 510 ROYAL PALMS DR
RE Number: 171514-0000
PROPERTY OWNER:
Name: KRECH, BRENT A
Address: 510 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: ATLANTIC COAST PLUMBING CORP.
Address: 3653 REGENT BLVD APT 305 QA NICHOLAS ARLON
PARRISH
Phone: 904-997-3278
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.
12.15;2014 08:47 FAX 90.16459363 atlantic-coast id1001
PLUMBING PERMIT APPLICATION
Com'OF ATLANTYC BEA-cm
goo Seminole Rd Atlantic Bmh,FL 32233
Ph(9/04)Z4 1 Fax(904)247-5945
JOB ADDRE •�/d �vt PERMLT#
SS:
NEIN O ,,A1C�A+lM- AU-ATION: Project Value
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Bathwb I - Scptic Tank do Pit
Cktehes Washer Shower _
Dishwasher - Shower Pan
Drntking Fountain Slop Sunk --..
Floor DiWR Throe Compartment Sink
Floor Sink Toilet --
Nw Bibs Urinal —
Kitoltett Sink Vacuum Breakssrs
Laundry Tray Water Connected Appliam"
Lavatory Water Heater
Other Ftxttm Water Tfeating System —
R PIP91
7W,9 aF,FDf7VRE Qry TYPE of fumitE Q7r
Bathtub Se:ptie Tank&Pic
CkKhcs Washcr Shower —
DishwasWr Shower Pap
Drinking Fountain Slop Sink
Floor Drain _„_ Tans Compmownt Sink —
Floor Sink Tosie —
Hoee Sibs -- Urinal
Vacuum B Akers
L ..
aund rt Sink Wates Connected Applimm
Laymary Laundry`l'Yly Water Hager -- W--.
Odwr Fbaures Water Treating System _
KISCELLANEOU&
0 5ewcr Replacement D Back Flow PM-venter 0 Cnvm[rtcmgmr(Trap) gallons(Reaqubvs 3 sets of plans)
Li Lawn Sprinkler Sysmm-Number of Heads ❑ Well
**,SJRWA Well C0M#etlon Form.Completed un tam be ubmitted to t�Tdu zip Dem for IGnal inspection
o Chber
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thit appiioMWn and know&o servo to be ww and oan'em All pr6vW6"ar row%end ordinoho!!Spvernias thiel WOrit vfiil bel ooihpllod%itb whether rpeoirWd
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Ow=3 Name e� _Phone Number ,
Property ` � /h �o� - office Phone, _pout
Plumbing Company �
Co.Address: ✓ O city Ss�at4l Zip
Lktnse Solder(Print):
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Noterkzed Signature alLicense Holder —
Before me this_ 1, 14 day of
DI NE d.ROCHE Sipgure of Notary Public
MY COMMISSION U NF009954
exPtas;ApW 21,2017