106 SUNRISE CT 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
JOBINFORMATION:
Job ID: 15-PLBG-1199
Job Type: PLUMBING ONLY
Description: 10 FIXTURES
Estimated Value:
Issue Date: 5/20/2015
Expiration Date: 11/16/2015
PROPERTY ADDRESS:
Address: 106 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
IDB ADDRESS: l n SAN R I5-C a PERMIT# IS'- -/07�
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEoFFIXTURE QTY TFPEoFFDuvRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower Z
Dishwasher Shower Pan
DrinkingFountain SlopSink
Floor DrainThree Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laura TinWater Connected Appliances
Lavatory Y Water Heater 1— l
Other Factures Water Treating System
RE-PIPE:
TYPE oFF=TRE QTY TYPEoFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heat«
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement Cl Back Flow Prevemer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plena)
❑ Lawn Sprinkler System-Number of Heads ❑ Well '•
**STRWD Well Completion Form. Completed form to be submitted to the BmlZing Department for Hnal inspection.**
❑ Other
Permit becomes void if work does not commencewithin a six month period orwork is suspended orebandoncd for sis mombs.I hereby cenifythat I have read
this application and know the same to be we and mnccL All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give authority to violate the provisions of my other state or local law regulation(oruauction or the 13mlormmm of construction.
Property Owners Name Phone Number
Plumbing Company nOffice Phone�l{7-�'/g''f4T Fax�/1r7�911
Co.Address: 2& n City l�f� 8P/.]Ph1 State�Zip..3=3 .
License Holder(Print)- State Certifit�tiot '4tmtion#r�T'412 959
Notarized Signature ofLicense Holder o -
A
Namry puck smte d vama Swom and stab ibed before me this _day of i� ^� -7 20]i
: Wm eeM6erpTMy Canmiwea FF itNerl Signature of Notary Public
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