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1739 ATLANTIC BEACH DR PLUMBING 2015 CITY OF ATLANTIC BEACH ij 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 J V INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-1566 Job Type: PLUMBING ONLY Description: SEE 15-PLBG-1535 21 FIXTURES NEW Estimated Value: Issue Date: 6/30/2015 Expiration Date: 12/27/2015 __-------------- PROPERTY ADDRESS: Address: 1739 ATLANTIC BEACH DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: DARLEYS PLUMBING INC. Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY ---Phone: __P_hone: - - - FEES: Total Payments: $0.00 f� � a 13q 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 Boo Seminole Rd Atlantic Beach.FL 32233 Ph(904)247-5826 Fax(904)247-5845 f PERMIT# .TOB ADDRESS: -139 Asw.t-z� l�r,tw,♦ Qt NEW OR REPLACEMENT INSTALLATION: Project Value S__.______._ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Z Septic Tank&Pit t t h Shower Clothes Washer — I Shower Pan t Dishwasher —I Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet --�-- Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances �— Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink Urinal Nose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures MISCELLANEOUS: gallons(Requires 3 sets of plans) Sewer Replacement ❑Back Flow Preventer Grease Interceptor(Trap) ;* Lawn Sprinkler System-Number of Heads �- Well **SJR WD Well Completion Form.Completed'form be submitted to the Building Department for final inspection•** Other Permit becomes void if work does not commence within a six month Period or wont is suspended ce abandoned for six months.I hereby certify that 1 have read P All rovisions of laws and ordinances governing this work will be complied with whether specified this application and know the same to be true and correct. or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance o4 99 structrop. Phone Number ?S Property Owners Name �.i W`t J{or f� __-.'tsac L Office Phone lt�-I'13N Fax 12� Plumbing Company � State Fe Zip y City �h'►' Co.Address: 49 7Z D't`r -VS Ilw' CFLor67oL License Holder(Print): C AA.t. � A-9 State Certification/Registration# Notarized Signature of License Holder s day of 205— Sworn and subscribed beforemk JOANNE MEHL i os Notary Public-State of Florida Signal of Notary Public My Comm.Expires Aug 29.2016 _ ted: CommisWn r EE 829576 ••°.,`. so Through National NMary Assn.