374 8th St 2015 - Plumbing S�,'Ly f
' 'S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j - 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-450
Job Type: PLUMBING ONLY
Description: repipe 9 fixtures
Estimated Value:
Issue Date: 3/3/2015
Expiration Date: 8/30/2015
PROPERTY ADDRESS:
Address: 374 8TH ST
RE Number: 169942-0000
PROPERTY OWNER:
Name: 374 8TH STREET LLC
Address: 1750 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: PROFESSOR PLUMB
Address: 1015 ATLANTIC BLVD APT 247
Phone: 904-270-2266
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $63.00
Trade Permit Base Fee $55.00
Total Payments: $122.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904j)247-5826 Fax(904)247-5845
JOB ADDRESS: 3 7 q 9' — S+f e ct A'�> 3 z 2:3-'? PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 AW 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 Z
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet Z
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Z Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
vl
❑ Lawn Sprinkler System-Number of Heads u Well **
** VRWD 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 rovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name 7,4-N
/C I A iC D Phone Number
Plumbing Company�o� SSd �(�n< <J" ,��c'• Office Phone Z7 C-ZZb Fax
Co. Address: D/ /47��I DL,ft i &V4. City State�Zip 'F
License Holder(Print): State Certification/Registration it f�Z70
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public