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606 DAVID ST REPIPE Js i, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 J3i1 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-2015 Job Type: PLUMBING ONLY Description: 7 fixtures Estimated Value: Issue Date: 8/26/2015 Expiration-Date: 2/22/2016 PROPERTY ADDRESS: Address: 606 DAVID ST RE Number: 170622-0100 PROPERTY OWNER: Name: CALIFANO, JUDITH VICKI Address: 4120 BUCK CREEK RD GENERAL CONTRACTOR INFORMATION: Name: DREW HARTMANN PLUMBING, INC. Address: 4331 CEDAR RD QA FREDERICK ANDREW HATMANN Phone: - - ------ FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Plumbing Fixtures $49.00 Total Payments: $108.00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(9/04) 247-5826 Fax (904) 247-5845 JOB ADDRESS: �/ ��// PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 RE-PIPE: TYPE oFFIXTURE QTY TYPE oFFIXTuRE 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 _17 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) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** / ' Other to�7`/�- / ,0 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 the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name n/ Phone Number Plumbing Company leeG✓ Office Phone ��3 �0� Fax ��3>/ �L✓A4� le Cit �1• '/ 6A L State'277(_Zip g2D6� Co. Address: - y License Holder(Print): ��r��l State C ification/Registration#"L-�C /yzr6�' Notarized Signature of License Holder e e this 0 20 ToY hN©tary public State of Florida li0hftL Graham MV Commi�aion FF O�jgpatu of Notary Pu 1C �b�Ed�� $�.P1�'l�RQ2/14lQ018