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.