702 KESTNER RD - PLUMBING PERMIT �S rL�J,rJu�
141401': ,„'-t\ CITY OF ATLANTIC BEACH
A s) 800 SEMINOLE ROAD
V, • ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.1119�
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-2117
Job Type: PLUMBING ONLY
Description: PLUMBING - 3 FIXTURES
Estimated Value:
Issue Date: 9/8/2015
Expiration Date: 3/6/2016
PROPERTY ADDRESS:
Address: 702 KESTNER RD
RE Number: 172382-0000
PROPERTY OWNER:
Name: 702 KESTNER LLC
Address: 14418 PAVION CT
GENERAL CONTRACTOR INFORMATION:
Name: TURNER PLUMBING CO.
Address: 1903 HENDRICKS AVE QA WORTH B TURNER
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 15 PL n0 — Z ( l7
JOB ADDRESS: I cC Z— �-�S+rte•' R x . PERMIT#
NEW OR PL iCEM NT INSTALLATION: Project Value$ Zl'te 0
OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan _I
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 _L— Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FIXTURE QT I' 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)
❑ 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 authority to violate the provisions o�`'y other state or local law regulation construction or the performance of construction.
Property Owners Name o L 4'x Z` Ia- Phone Numberr 11 - ft-1-41G Co
Plumbing Company
/I-g../ 9(LA..", /� La - Office Phone 39 G - 44 Fax3961-704
Co. Address: 5 3 a v--.4-9-x!'`L s i1 -` City h ac . State f Zip 3 t t'D 7
License Holder(Print): L) 014 . r i1 t/ State Certification/Registration# C F(. O�9 7`kP
Notarized Signature of License Holder \ i1 (?) •
Before me this $ day of 5e%ote/►tbe r 20
4004.‘ Notary Public State of Florida ^ ,
Nancy E Bailey Si nature of Notar Public /J1
o` My Commission EE 156116 g y
'f or C Expires 02/062016