1605 BEACH AVE 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 INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-801
Job Type: PLUMBING ONLY
Description: sewer replacement
Estimated Value:
Issue Date: 4/812015
Expiration Date: 10/5/2015
PROPERTY ADDRESS:
Address: 1605 BEACH AVE
RE Number: 169646-0000
PROPERTY OWNER:
Name: Gattoni, James B
Address: 1605 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN PLUMBING CONTRACTORS
Address: 5720 ARLINGTON RD CIA RANDOLPH EROL MILLER -
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: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
IOB ADDRESS:_ k� "t4 4a PERMIT#
.UW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFDUVRE QTY TYPEoFFDavRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram 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 FDcruRE QTY TYPE oFFDUT)RE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
SlopSink
FlD oor 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
US:
■ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap)_gallons(Requires 3 sets of plana)
❑ Lawn pttnkler System-Number of Heads ❑ Well **
WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection"
❑ Other
Permit becomes void if work does not currencies within a six month period or work is suspended or abandoned for six months.I hereby certify diet I have read
this application and know the same to be true and correct All provisions of laws and ordinances govemivgthis work win be complied with whether specified
m not The permit does not give a/fup��onty to lheprovision;ofmy other state or local law regulation construction or the performmance ofconstruoii=.
Property Owners Name MAI
-t Phone Number 413
Plumbing Company h"r..._. Pi,M"A��/(fes Office Phone 3-990 Fax 7K-/693
Co. Address: 6120rla� K-Da City a a Zip _32-tI
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Notarize jianatureo License Holder
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