600 JASMINE ST PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- / ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
'r�J;ilJ�
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-1351
Job Type: PLUMBING ONLY
Description: Septic to sewer
Estimated Value:
Issue Date: 6/9/2015
Expiration Date: 12/6/2015
PROPERTY ADDRESS:
Address: 600 JASMINE ST
RE Number: 170919-0540
PROPERTY OWNER:
Name: ASTON TRUST ET AL, NANCY L
Address: 1895 KINGS CT
GENE RAL 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 $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach.FL 32233
,. Ph(904)247-5826 Fax(904)247-5845
JoB ADDRESS: /o 611 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFIXTORE QTY TYPEOFFATURE 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 Trey Water Connected Appliances
Lavatory Water Heater
Other Futures Water Treating System
RE-PIPE:
TYPEoFFa7vRE QTY TYPE oFFnavRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Showa
Dishwasher Shower Pan
Drinking Fountain Stop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Veen=Breakers
Laundry Tray Water Connected Appliances _
Lavatory Water Heater
Other Factures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requim 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well •'
**S7RWD Well Completion Form.Completedd be submitted to the—B@JFmg Department for final inspection."
❑ Other
Permit becomes void if wort does not comment within a six month period or work is suspended or abandoned for six ttoau.I hereby certit that 1 have read
this application and know the same to be tine and trred. All provisions of laws and ordinances governing this work win.be cmnplied with whether specified
or not. The permit does not give authority to violas the pmpsiaos of my other Mote or local law regulation concoction or the performance of construction.
Property Owners Name C' P 3 Phone Number
Plumbing Company n�✓/� 2�P_ Ml11n 'Ira Officefshone.W Fax 9A�1
Co.Address: �3nma� A?1z city A 6w(!A Statef-2- Zip `,��43
License Holder(Print): State Cerdficatio on#eFC/aQI�459
Notarized Signature ofLleane Holds
Rii
arRptla Sworn and sd criWbefore me this 9 dayof iT-tM a , 20rg
1e1010r' Signature of Notary Public