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50 Forrestal 2015 plumb 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-876 Job Type: PLUMBING ONLY Description: 7 fistures repipe Estimated Value: Issue Date: 4/15/2015 Expiration Date: 10/12/2015 PROPERTY ADDRESS: Address: 50 FORRESTAL CIR RE Number: 171758-0000 PROPERTY OWNER: Name: PARKS ET AL, LARRY W, " UANA RD Address: 5348 TIMUQUANA RD 5348 TIMUQ GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE PLUMBING JSE Address: 880 MAYPORT RD QA GREG GAL FEES: Phone: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $49.00 Trade Permit Base Fee $55.00 Total Payments: $108.00 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 PERmyr# ----------- JOB ADDRESS: NEW OR REPLACEMENT INSTALLATION: Project Value QTY TyPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub Septic Tank&Pit Clothes Washer Shower ShowerPan 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 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 Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures MISCELLANEOUS: r o Grease Interceptor (Trap) gallons(Requires 3 sets of plans) o Sewer Replacement 0 Back Flow Prevente ci Well ci Lawn Sprinkler System-Number of Heads mal inspec on.** ** SJRWD Well Completion Form. Complete&—forrn to be submitted to the—Building Department for f ti o Other ce within a six month period or work is suspended or abandoned for six months.i�ereby certify that I have read permit becomes void if work does not corrimen, lied with whether specified and correct All provisions of laws and ordinances governing this work will be comp this application and know the same to be true state or local law regulation construction or the performance of construction. or not. The permit does not give authority to violate the provisiogs of any other Phone Number -7 q 3'-2 'Tar Property Owners Name ZLL-1��' Fax 24-1--q�67L _Office Phone Zip Plumbing Company city State Co. Address: ly License Holder(Print): State Certif!c5jgnfflA;isVation#CML of License Holder ' ; Notarized Signature ed before me this 'day of 1�j ti �Z�Z- 20 or N a Sworn s Notary Public Stata of Florid Kim Sadbrg My commis3ion FF 164674 Signawre of Notary Public EXPIM3 09f3012018 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PLUMBING PERMIT MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814 JOB INFORMA17ON: Job ID: 15-PLBG-841 Job Type: PLUMBING ONLY Description: REPIPE 9 FIXTURES Estimated Value: Issue Date: 4/13/2015 Expiration Date: 10/10/2015 PROPERTY ADDRESS: Address: 50 FORRESTAL CIR RE Number: 171758-0000 PROPERTY OWNER: Name: PARKS ET AL, LARRY W, Address: 5348 TIMUQUANA RD 5348 TIMUQUANA RD 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 $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(904) 247-5826 Fax (904) 247-5845 JoB ADDRESS: PERYHT# NEW OR REPLACEMENT INSTALLATION: Project Value TYPE OF FaTURE Q-Ty TYPE OF Fix TuRE OTY 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 P'E-PIPE: TYPE OF FLvTuRE OTY TYPE OF FixTuRE Ory 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 o Back Flow Preventer Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprin1der System-Number of Heads 7-�' Well SJRWD Well Completion Form. Completed7—forrn—to be submitted to tKe-—Building Department for final inspection.** Other re rtif that I have read Y Permit becomcs void if Nvork does not commence within a six month period or work is suspended or abandoned for six months.I he by ce this application and knoul 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 authorit),toviolate the provisions of any other state or local law regulation construction or the pmformance ofconstruction. Property Owners Name Phone Number off Ice Phone Aq7. jji2�FaX2±Z_ Plumbing Company Co. Address: M�) Civ State a Zipa2LL3 Z License Holder(Print): S Certifcation/Registration# Notarizad Signatztre of License I-Iolder 201d Sworn and subscribed e ore me S of Notary Pubpe state of Fwm Kkn S&I Signatue of Notary F My CoMn*@10ft FF 10074 ExpkwMWnie 0I A