800 SHERRY DR 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
306 INFORMATION:
Job ID: 15-PLBG-444
Job Type: PLUMBING ONLY
Description: Install 12 fixtures
Estimated Value:
Issue Date: 3/2/2015
Expiration Date: 8/29/2015 _.
PROPERTY ADDRESS:
Address: 800 SHERRY DR
RE Number: 170393-0000
PROPERTY OWNER:
Name: EGGERS, WALTER E
Address: 800 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Address: P O BOX 49225
Phone:904-247-9848
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: $143.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5945 R94A
JOB ADDRESS: 8� AftQRJai 1 0,QA —/��- PERAUr# 17
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEoFFIXTURE QTY TPPEoFFIXTURE QTY
BathtubS! Septic Tank&Pit r
Clothes Washer __F— Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink a�
Floor Sink Toilet
Hose Bibs Urinal
—
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEoFFDrruRE QTY TYPEoFFIXTURE 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
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer o Grease Interceptor(Trap)—gallons(Requires 3 sets of pleas)
❑ Lawn Sprinkler System-Number of Heads i7 Well **
**STRWD Well Completion Form. Completed Torm to be submitted to the Building Department for rural inspection.**
❑ Other
Permit becomes said if work does not commence within a six month period or work is sspended or abandoned for sur months.I hereby Parity they I have read
this application and know the same to be nue and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give muhmity to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �lef7Cd/7° Phone Number ,�
Plumbing Company �Y1 [ � T"IUA61Mm Office Phone�Fa Y'" ?6q7vy
Co.Address: �� d}�{'{�fl �(� City 4 ,- f:� State a Zip,�3
License Holder(Print): tJ 5�` Stat rtification/Registration
Ar urea License Holder " '
Swom and subscribe afore me flus day of rid 20�S
ktgr,h."•' coMmEmXPrnIR"EuSoSuSnItl.A6 mto11tm7Ma': :
a N�
Signature
Of Notary Public�^