102 SUNRISE CT PLUMBING J ,�S
CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
F
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-1196
Job Type: PLUMBING ONLY
Description: 10 FIXTURES
Estimated Value:
Issue Date: 5/202015
Expiration Date: 11/16/2015
PROPERTY ADDRESS:
Address: 102 SUNRISE CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD QA GREG GAUSE
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: /vol PERMIT# -�SFVT-�OrJ
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFnavRE QTY TFPE OF FIXTURE QTY
Bathtub Septic Tank&Pit Z
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 Trey Water Connected Appliances
Lavatory Water Heater 1—
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFbaum QTY TYPE OF FIXTURE QTY
Bathtub ID Septic Tank&Pit
Clothes Washer 1 Shower
Dishwasher Shower Pan
Drinking SlopSink
Floor
nouatarn The 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 ❑ Grease Interceptor(Trap)_gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well *'
**&IRWD Well Completion Form. Completed form to be submitted to the Buiklmg Department for final inspection.**
❑ Other
Permit becomes void If work does not commence within a six month period or work is suspended or abandoned for six reonths I b by certify the I have d
this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does act give authodry to violate the provisions of any other state or local law regulation construction or the performance of comauctim.
Property Owners Name HfI,Q 1/'2�L Phone Number
Plumbing Company all � a Office Phone
Co.Address:-..e-n nen Pd City iq-8 ,8ea State a-Zip�12:43 3
License Holder(Print): i State Certif_! t im#ca /^Jzl
Notarized Signature of License Holder "
a a Flamer Swom and ribed before me flus day of lm 20
Mr CanrNulen FF ta18r1 Signature of Notary Public
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