110 SANDY BCH LN PLUMBCITY 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
]OB INFORMATION:
Job ID:
15-PLBG-851
Job Type:
PLUMBING ONLY
Description:
NEW SERVICE 10 FIXTURES
Estimated Value:
Issue Date:
4/14/2015
Expiration Date:
10/11/2015
PROPERTY ADDRESS:
Address:
110 SANDY BEACH LN
RE Number:
None
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 $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUIG PERILff APPT11CATION
CITY OF ATLAisTTIC BEACH
goo Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-50826 Fax (904) 247-50045
JoB ADDRESS:
NE, J OR REPLA C-EMENT SIS T ALLA e 10N j ect aJ elue S
;0PER� # / s•-5aT- 94?
`�' TE oil R lid.:
' F y
'!PF 0. F �r'TUIR E r .
Bathtub
Septic Tank & Pit
Clothes Washer
Shower
Dishwasher
Shower Pan
Drinking Fountain
Slop Sink
Three Compartment Sink
Floor Train
Toilet
Floor Sink
T—
Urinal
Hose Bibs
Kitchen Sink
Vacuum Breakers
Water Connected Appliances
Laundry Tray
Lavatory
Water Heater
Other Fixtures
Water Treating System
RE -PIP J
'I'_vpF OF Fu-TUP F
_fnTy
u' TE jE FixT TTLRE
Bathtub
Septic Tank - Pit
Clothes Masher
Shower
Shower Pan
Dishwasher
Drinking Fountain
Slop Sink
Three Compartment Sink
Floor Drain
Floor Sink
Toilet
Hose Bibs
Kitchen Sink
Urinal
Vacuum Breakers
Laundry Tray
Water Connected Appliances
Lavatory
Water Heater
Water Treating System
Other Fixtures
IVE8C'- ELLQ EIGUSo
❑ Sewer Replacement
E, rack Flow Preventer
grease interceptor (Trap) gallons (Peaui- es s sets of plans)
Lawn Sprinlder System Number of Reads `' ell .
Y SJRTVD Well CompletionFot•tn. Completed fore to be submitted to the Building Department for f?us.g inspection.**
Other
Permit becoMCS void if «•ork does not commence Ncithin a six month period or work is suspended or abandoned for six months. l hereby certify that I have read
e and correct. All provisions of laws and ordinances governing this wvork will be complied with whetlier specified
this application and know the same to be tni
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 Phone Number
1 14 Plumbing Company Gi
re U Office Phone ? -G1Vg/ r/Fax
Co. Address: 0 J City ��% �P �t G State Zip 3 3
License Folder ("--P ):r—e State Certification/Registration #
7Yoc-arized gigj;ra,' Br,•e Oj T icense Older -i
Sworn and subscribed before m i s day of ?
Rii
e d FbridaF 18481'4 Signature of Notary Public
8