Loading...
1747 W PARK TER - PLUMBING S y1y i'I,, ,\ CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD U ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 IOBINFORMATION: Job ID: 15-PLBG-1395 Job Type: PLUMBING ONLY Description: 15 fixtures Estimated Value: Issue Date: 6/15/2015 Expiration Date: 12/12/2015 PROPERTY ADDRESS: Address: 1747 W PARK TER RE Number: 172020-0376 PROPERTY OWNER: Name: JENNINGS, LINDA A Address: 1747 PARK TER GENERAL CONTRACTOR INFORMATION: Name: STEEG PLUMBING Address: 1601 MAIN ST QA JAMES STEEG Phone: - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $98.00 Trade Permit Base Fee $55.00 Total Payments: $157.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: �7 �7 RA* T^ V PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPEoFFfxTORE QTY TYPEOFFLYTuRE 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: TYPE oFFixTORE QTY TYPEoFFixruRE QTY Bathtub R Septic Tank&Pit Clothes Washer Shower Z Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet r13F Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances �� LavatoryWater Heater /� Other Fixtures Water Treating System ,L J MISCELLANEOUS: �l/`J '/1// ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Regmres 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SIRWD Well Completion Form. Completed form to be submitted to the Building 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 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 thee_provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name /.lAlL 1-6) 01 rM S+,/r�+ Phone Number Plumbing Compan // doh C Office Phonenn� ,, fl– Co. Address:�Iu. City & /W State L zip 3ZVY License Holder(Print): Sh tate Certification/Registration q e/I/rd. ` 15po Notarized Signature of License Holder Before me j Signature of Notary Public P.