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71 19TH ST WATER HEATER CITY OF ATLANTIC BEACH 7 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-SS14 JOB INFORMATION: Job ID: 15-PLBG-1293 Job Type: PLUMBING ONLY Description: WATER HEATER ' Estimated Value: Issue Date: 6/2/2015 Expiration Date: 11/29/2015 PROPERTY ADDRESS: Address: 71 19TH ST RE Number: LOC ID-0000 PROPERTY OWNER: Name: HARDMAN ET AL, STEPHANIE Address: 71 19TH ST 71 19TH STREET GENERAL CONTRACTOR INFORMATION: Name: POLAR PLUMBING Address: P O BOX 2004 MICHAEL RICHARD NICETTE 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 p(904)2415826sembiole Rd AtlanticFax( 4)-584.5 JoBADDRESS. Ij 1 Sr PERMIT II NEW OR REPLACEMENT INSTALLATION: Project vatue S TrP OFF1XrURE QTY TYPED &Ph QTY Bathtub septic Taankrd,g Pit - Clotltts Washer Shower — Dishwasher Sho Si Pan Slop Sink Drinking Fountain -- Three Compamernt Sink floor Drain ^— Toilet ---- FloorSink --- Urinal --- Hose Bibs vacuua Breakers — Kitchen Sink Waw Connected Appliances tautwky Tray '—` Water Beamr — Lavatory —" Water Treating SYstem __— Otberrixhues — RErpIPE: T7EOFF7A7URE Qri TYPE OFF7XTURE err _ SWk Took&Pit Balblu Cl(Ahseb WasherShower Dishwasher — Shower Pan — Slop Sink Drinking Fouma(n -- Three Compartment Sink Flow sia --' Toilet Fbor Sink -- Urirwl --- Nose Bibs _.–^ vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater -J-- Lavatory Water Treating System other Fixtures --- MISCELLANEOUS: [m o Tra ions(RMdora 3xb,afplaae) ^ Sewer Replacement �,Back Flow Pmvmter C r crccP t P)--.–Y Well •� C ,awe Sprinkler Systerion Fo btt of Hetes rot for float imparioaws •*SJRWD Well Complerian Form.Completed arm tube submitted to tlx Building Ikparhn Other -- ss••.t norm ry w t r ran pmap bmwwrs wp�r weh dm rot aemmrwre+ronin a tl r,%po [kit appknkioa aMlntww'Ne s.newbe true ahs corlttt Alll pa)vlSiaaaf laws and sadfataues gorankLL stria rola wahconphod wln whenama�'aea orlw[. 'Iae penia Does rtes give rPhone Number��usnm1�itl^�a��vida<a In( prwisrons of tny'dher stlw or lacd law regu4tion corclruCion arlae petMnaner o(aonsWaina. propmy Owners N ��rr L r I---t l - Z �J en1n� Plutonyla l P1n0vg Cocity nr � Zip Co. Address: >. J f utx x Bolder(Pilary: State Certifieation(Registration# Noforired Sigxwfara of LXte Holder' V� SARAN ANNE ROBERTSON Swa m before e thi of 20 V5 W MMNIMONIFF0alata Signotureof Notary Publi Ex SPo[ Nw,MIS a tbMWaarsaMca.00m