870 HIBISCUS ST 15-PLBG-1269 1 Fixture CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
~� I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
Job ID: 15-PLBG-1269
Job Type: PLUMBING ONLY
Description: 1 FIXTURE
Esdmated Value:
Issue Date: 6/2/2015
Expiration Date: 11/29/2015
PROPERTY ADDRESS:
Address: 870 HIBISCUS ST
RE Number: 170945-1010
PROPERTY OWNER:
Name: MARCH, JOSEPH M
Address: 870 HIBISCUS ST
GENERAL CONTRACTOR INFORMATION:
Name: POLAR PLUMBING
Address: P O BOX 2004 MICHAEL RICHARD NIQETTE
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: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Soo Semimlc Rd Atlantic Beech.FL 32233
ph(9(14)247-5826 Fax(904)247-5845
JOB ADBRESS: � 7 h�"r n
NEW OR REPLACEMENT INSTALLATION: Project Value$ FjD0
TYPE of Ftxn RE Q7Y 7NE OF FIXTURE QTY
Bad"It f Septic Tank&Pit
Clothes Washer .—_ Shower —
Dishwasher Shower Pan
DrinkingFountain _� Slop Sink
, Three Compartment Sink `
Floor D,,, —� Toilet
Floor Sink Urinal --
Hose Bibs Vacattm Breakers �—
KiwAm Sink -- Warr Connected Applimccs
Laundry Trey —_ Water Heater �—
pole�rF7ixmres �— Waia Treating Sysuan
RF.-PIPE:
TYPE OF FIXTURE QTY TrPE OF FIXTI/AE
Qry
Bathmb Septic Tank&Pa
Clothes Washer Shower
Shower Pan
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Drinking Foontain Slop Sink _—
Thee Comtrrtment Sink
PlOOr tea'" Toilet
Floor Sink Urinal --
Rose Bibs --- Yacum Bre kers —
Kitchen Sink Wataconneaad Appliances —
Laundry Tray --- Water Heats
Lavatory --- Water Treating System
other Fixnlres ---
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