1698 MARITIME OAK DR - PLUMBING -_ SA CITY OF ATLANTIC BEACH
A s) 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-1955
Job Type: PLUMBING ONLY
Description: PLUMBING - 26 FIXTURES
Estimated Value: $10,000.00
Issue Date: 8/18/2015
Expiration Date: 2/14/2016
PROPERTY ADDRESS:
Address: 1698 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DON HARRIS PLUMBING CO.,INC.
Address: PO BOX 14668 QA NELSON D. HARRIS
P hone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $182.00
Trade Permit Base Fee $55.00
Total Payments: $241.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC MACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH ( 5 -PL , ,- j 9 S.)J
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
l 51-k JOB ADDRESS: k1qg J Makt4U;itt c>,_,L 1 r PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value$ ipt ICJ
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer I Shower •
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet S .
Hose Bibs 3 Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray I Water Connected Appliances
Lavatory Water Heater
Other Fixtures / Water Treating System
RE-PIPE: C72
TYPE OF FIXTURE 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)
o Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD 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 authori to violate . provisions; any other state or local law regulation construction or the performance of construction.
Property Owners Name • 4 i_1..,, _l s Phone Number
Plumbing Co any Don Harris Plumbing Co., Inc. Officeia ') . a' ax /n4 023
Co. Address: �� _W ' } 1 ��
�.i i V , City _I_I / Zip_ a
License Holder(Print): Et SOW IP• #lbe.ei State ertification/Registration# C C DI 1 I
Notarized Signature of License Holder '`■i----_
' '"" KIM BUTLER ∎worn and subscribed before a this /C3 day of� i/. �i j 20 1S
.4?„. commfsslon#FF
at Exp1fes October 25,2017 Signature of Notary Public — L�
Banded rhu Troy F�memo.gp .TOt9