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1605 Linkside Dr plbg 2015 � S, 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-986 Job Type: PLUMBING ONLY Description: 1 FIXTURE Estimated Value: Issue Date: 4/29/2015 Expiration Date: 10/26/2015 PROPERTY ADDRESS: Address: 1605 LINKSIDE DR RE Number: 172374-6105 PROPERTY OWNER: Name: MUTH, JULIA ANN Address: 1605 LINKSIDE DR GENERAL CONTRACTOR INFORMATION: Name: STEVE REESE PLUMBING Address: P O BOX 26397 JKVL FL 32226 Phone: - - 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: $66.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: [ C O l �t �L �� I ` PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 366 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 ** SJR WD 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 .P lir Phone Number _ Plumbin Company B i•� �� �U' Office Phone`6Z5 Fax g 2Z� Co. Address: D v Z�� 1 City 1 State Zip _ S State Ce 'fication/Registration#�' orf'J License Holder(Print): 3 5 7io� Notarized Signature of License Holder re me this ay 20 ;�,Or►u#^ Notary Public State of Florida Shirley L Graham Si ature of Notary Publ My Commission FF 086990 ? ��d" Expires 02114/2018 t