306 PLAZA PLUMBING 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 INSPECnON: 247-5814
308 INFORMATION:
Job ID: 15-PLBG-1 132
Job Type: PLUMBING ONLY
De�scription: 13 fixtures
Estimated Value:
Issue Date: 5/13/2015
Expiration Date: 11/9/2015
PROPERTY ADDRESS:
Address: 306 Plaza
RE Number: 169951-0000
PROPERTY OWNER:
Name: RILEY, RICHARD M
Address: 306 PLAZA
GENERAL CONTRACrOR INFOR14ATION:
Name: STEEG PLUMBING
Address: 1601 MAIN ST QA JAMES STEEG
Phone:
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00
Trade Permit Base Fee $55.00
Total Payments: $150.00
PEMIT IS APPROVED ONLY IN ACCORDANCE IVITH ALL CITY OF ATLANTIC BEACH ORDINANCES ANID ME FLORIDA
BOLDMG CODES.
MAY-13-2015 08:33 FROM:STEEG PLUMBING 9042410834 'rO:2475845 P.1/1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlandc Beach, 1132233
Ph(904)247-5826 Fax(9()4)247-5945
JOB ADDRFss: --my PPY4 24 PERMIT 0
NEW OR REPLACEMENT INSTALLATION: Project Value$_
TypEopFixtruRE QTY TyreoirFixraRE Qry
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher ShowerPan
Drinking Fountain Slop Sink
Floor Drain Threat,Compartment Sink
Floor Sink Toilet
How Bibs TJrinal
Kitchen Sink Vacuum Breakers
Laundry Tray WinearConnoctedApplianocs
Lavlabrar
.y Water Heater
Other Fixtures Water Treating System
R&PIPE:
TVPE OF PUTURE QTY ryrEoFFtxTvow, Qry
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain SlopSink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliance$
Lavatory Water Heater
Other Fixtures Water Treating System
AUSCELLANEOUS:
Li Sewer Replacement rl Back Flow Preventar L.I Grease interceptor(Trap) gallons(Requires 3 suis of pious)
t i Lawn Sprinkler Systom-Number of Heads [3 Well
SIRWD Well Completion rorin.Completed1orm to be submitted to t1ti;'BuildIng Department for final inspection."
Li Other
PeronithocomesvVidirwo k dous not commence within A six month perind or work is suspended or abandoned Im six months.I herob ly uh r.hov! ed1d
thovaus,In he Ins,and correct. All provisions of laws and ordinances governing this work will be complied P"I!..
misapplication and know ilh
at mu. The permit does no'give minority to violate the provisions of my other state or local low regulation construction or the perliumance,of construction.
Propelty Owners Name Phone Number
Plumbing Company 'Pik- e6 2.-Z Offlice Phone
M.4/MA City A!�, Ali— state&_z1pff*,V
Co. Address:
License Holder(Print;-. State Certificationt.Registration#Cjwepyl g
Notarized Signature ofLicanye Holder
Before me this 20
Shirley L Graham
Signature: of Notary Pub
Y COMm'sam FF 086990
V.,,.oV1Q2018
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