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2305 BAREFOOT TRAC - PLUMBING CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD / 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-2342 Job Type: PLUMBING ONLY Description: PLUMBING - MOVE PIPING Estimated Value: $1,200.00 Issue Date: 10/5/2015 Expiration Date: 4/2/2016 PROPERTY ADDRESS: Address: 2305 BAREFOOT TRAC RE Number: 169463-0626 PROPERTY OWNER: Name: WRAY, BRIAN AND BRENDA, * Address: 2305 BAREFOOT TRAC GENERAL CONTRACTOR INFORMATION: Name: EXPERT PLUMBING CONTRACTOR INC Address: 7384 Hawks Cliff DR Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Plumbing Fixtures $14.00 Total Payments: $73.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 171E FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 S G JOB ADDRESS: 2 3 © ( /, -e-- (JT A'1 #4,11 6214-j_ CZ PERMIT# 09 NEW OR REPLACEMENT INSTALLATION: Project Value$ /2O9 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 �L Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: 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) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑oOther reawtov� put__ czotti wilt ►o ki.40o ALso ii T Att ' 0L. w�I{� Vie ex.le/oi Tiosc- kir` tStp,,ln ? T (Nita_ �h not 1 tam Ain eYS► iii. eo 5j f%eri An.O A.-. i lid ��c� l.'.{ i�sio,c t ,-r t"4-Lco 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 6geinco iA W Ie3 Phone Number (9011)2114-fa o8 Plumbing Company I-x ice-1 P 116 i e crd►%! cToK L Office Phone (904)U 3-S5 4Fax Co. Address: 1-38'Ll 14.01-t C1F F DrC t� City #k State /1- Zip 52 27,_ License Holder(Print): e. A State Ce ' cation/Registration# er//D 4,6 "n Notarized Signature of License Holder ,� P4. Notary Public State of FIcrldaB- .I re me tlils day of 20 1 ;Q Shirley L Graham y c nny Commission FF osssso Si t ature of Notary Publl or Expires 02/1412018