731 PARADISE LN - PLUMBING t CITY OF ATLANTIC BEACH
; ...w S� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
. -/L).F 9''
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
508 INFORMATION:
Job ID: 15-PLBG-2024
Job Type: PLUMBING ONLY
Description: PLUMBING - 25 FIXTURES
Estimated Value:
Issue Date: 8/26/2015
Expiration Date: 2/22/2016
PROPERTY ADDRESS:
Address: 731 PARADISE LN
RE Number: 172376-0200
PROPERTY OWNER:
Name: WHW INVESTMENT MANAGEMENT LLC
Address: 1 INDEPENDENT DR STE 1600
GENERAL CONTRACTOR INFORMATION:
Name: B & G PLUMBING CO.. INC.
Address: 2232 CORPORATE SQUARE BLVD QA GENE CHRISTIAN
ROVER
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $175.00
Trade Permit Base Fee $55.00
Total Payments: $234.00
PS APPRO VED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 n�e-
Ph(904) 247-5826 Fax (904) 247-5845 1 S —PL B -7OZ4
JOB ADDRESS: 73 I �a. r cx.. i%t 1.,,A► e--- PERMIT# 1.5--5'F R - n' -
e R REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer _ i___ Shower
Dishwasher __L__ Shower Pan i
Drinking Fountain Slop Sink
Floor Drain I Three Compartment Sink
Floor Sink - Toilet ____4___
Hose Bibs 3 Urinal
Kitchen Sink i Vacuum Breakers a
Laundry Tray _i___ Water Connected Appliances 3
Lavatory —5— Water Heater I
Other Fixtures Water Treating System
RE-PIPE:
"1.)6
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:
D Sewer Replacement ❑ Back Flow Preventer Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads 7] 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company 134-6-2 1 v wr 1 h:n 'o Office Phone Soil-ate--3418(Fax cro4-,p.3-a75O
Co. Address: 3 3.3a C.,e,trJnra-L Sq•_) - aLiid- City c.&i otod lc State 6... Zip 3 b
License Holder (Print): 1 f_ State Certi ati t j :egistrati # C FC -o 3D6 9 Z
Notarized Signature of License Holder _y
��
Sworn and subscribed before me this 2 G day of A L.4..5 L.L. 51-- 20 1 S
�.y V Nit, Notary Public State of Florida �/
Nancy E Bailey ignature of Notary Public A .
r �1` My Commissar EE 156116
'otec O Expires 02/OS/2016