2221 FAIRWAY VILLAS PLUMB CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION: 14-PLBG-477
Sob ID:
lob Type: PLUMBING ONLY
Description: 12 fixtures
Estimated Value:
Issue Date: 4/13/2015
Expiration Date: 10/10/2015
PROPERTY ADDRESS:
Address: 2221 N FAIRWAY VILLAS LN
RE Number: 169398-1074
PROPERTY OWNER:
Name: ENDEREZ, NOLASCO
Address: 2221 FAIRWAY VILLAS LN
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 $84.00
Trade Permit Base Fee $55.00
Total Payments: $143.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jov 2014 09:18a Advantage Plumbing
904-247-9848 P.1
PLUMBING-PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
)B ADDRESS:
ll7LC ? PERMU#
EW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE Qom'
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
CE-PIPE:
TYPE OF FIXTURE OTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Psi
Shower
Clothes Washer
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Three Compartment Sink
Floor Drain
Toilet
Floor Sink
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Water Connected Appliances
Laundry TrayWater Heater
Lavatory ter— Water Treating System
Other Fixtures
►MISCELLANEOUS: allons(Requires 3 sets of plans)
i Sewer Replacement o Back Flow Preventer Grease Interceptor(Trap} * g
5 Lawn Sprinkler System-Number of Heads__r__
o Well_______
x SJRWD Well Completion Form. Completed firm to be submitted to the Building Department for final inspection.-
l Other
doned for six months,l her y certify that 1 have read
ermit becomes void if work does not commence
within a six month period or work is suspended or aban
C co nplied with whether specified
pis application and know the same to be true and correct
rov9s ons of any other ons of state or local law governing and ordinances egulationtconstructionis Nvovk lor the perfomtance of construct�Zon
r not The permit does not give authotY°vlolWle� (�
�Y�CV�� Phone Number.
'roperty Owners Name 7Cs � r C� 1/
Office Phone F _
lumbino Company Zip 3 X33
City State �^
:o.Address:
State Certification/Registration#
,ieense Bolder(Print):
Totarized Signature of License Holder 20�
Sworn and subscribed before me this � day of
JUUEYOWGIHr M F%F 35 Signature of Notary Public
:N. EXpRES!July 21,2017