435 Atlantic Blvd 2015 plumb �J `S, CITY OF ATLANTIC BEACH
j 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-116
Job Type: PLUMBING ONLY
Description: 8 FIXTURES
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 435 ATLANTIC BLVD
RE Number: 170694-0000
PROPERTY OWNER:
Name: FRANCHISE REALTY INTERSTATE
Address: PO BOX 49189 MCDONALD'S
GENERAL CONTRACTOR INFORMATION:
Name: PARTIN PLUMBING
Address:
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Plumbing Fixtures $56.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JAN/14/2015/WED 03: 13 PM Partin Plumbing FAX No. 4075789396 P. 002
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845 ref. /7c5�9 Y 000a
Jon ADDRESS: 435 ATLANTIC BL'V'D. PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project 'Value$
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 J—
Kitchen Sink Vacuum Breakers
Laura TrayWater Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RL+-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIX77IRtr 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 Neventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Depaztrneut for final inspection.**
u Other
Permit becomes void if work does not commence within a six month period or work w 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 pen-nit 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 Franchise Realty Interstate /McDonald's Phone Number
Plumbing Company PARTIN PLUMBING SERVICES,INC. Office Phone 407-578-9553 Fax407-578-9396
Co. Address; 6110 Edgewater Dr. Unit J City Orlando State FL_Zip 32810_
License Folder (Print): r 1 4-r%, ih State Certification/Registration# CFC057913
Notarized Signature ojLieense Holder
Sworn and subscribed befLji4
. ay 20
��v•u�=Statee of Flori Y e of Notary PublimF 08699018