337 1ST ST PLUMBING i,S yliJt��, .
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
lob ID: 15-PLBG-1334
lob Type: PLUMBING ONLY
Description: tub to Shower
Estimated Value:
Issue Date: 6/811015
Expiration Date: 12/5/2015
PROPERTY ADDRESS:
Address: 337 1ST ST
RE Number: 169763-0000
PROPERTY OWNER:
Name: MCCARTHY TRUST
Address: 337 FIRST ST 337 FIRST ST
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
Address: 1601 MAIN ST CIA JAMES STEEG
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: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: --U2 ` 5-r PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFF/XTURE QTY TYPE oFFixTURE 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 Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEUFFixTURE QTY TYPE of,FixTURE 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 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 **
**SIRWD Well C/o�mpletion Form. C **
.00mpleted form to be submitted to the Building Department for final inspection.
❑ Other �'vb 1'4A .,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
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 not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name WI L ) Phone Number
Plumbing Company d .al r d G Office Phone y�`.S� �Ftax
Co. Address: /l61 �.O/n 5r City A4 state ,A/Zip'
License Holder(Print): 9MCt State Certification/Registration#�n9- 7/'f��
Notarized Signature of License Holder %
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