2308 W OCEANWALK DR - PLUMBING ., ,,, A., . .,,, ,
. "J, , CITY OF ATLANTIC BEACH
-J 800 SEMINOLE ROAD
V -~ v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
j -'- 0.219r
i
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-2353
Job Type: PLUMBING ONLY
Description: 5 fixtures
Estimated Value:
Issue Date: 10/7/2015
Expiration Date: 4/4/2016
PROPERTY ADDRESS:
Address: 2308 W OCEANWALK DR
RE Number: 169463-1090
PROPERTY OWNER:
Name: PAULY, THOMAS E & MARTA M, *
Address: 2308 W OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: NELSON PLUMBING CO. INC.
Address: 11624 -1 DAVE DAVIS CREEK RD QA SCOTT GARY
NELSON
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
•
PLUMBING ERMIT APPLICATION
CITY OF ATLANTIC BEACH
•
800 Seminole Atlantic Beach, FL 32233
Ph(904)247- 826 Fax(904)247-5845
JOB ADORESS: c,?3D 3 OCea n a l K *Ir .. PERMIT# G S I
NEW OR REPLACEMENT INSTALLATION: Project Value$
' TYPE OF FIXTURE QTY TYPE OFFIXTU'RE QZY
Bathtub ___L___ Septic Tank&Pit
Clothes Washer Shower _,_„L„
Dishwasher • Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 4
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 OF FIXTURE Qry
Bathtub Septic Tank At Pit
Clothes Washer Shower
Dishwasher Shower Pan
Arinking Fountain Slop Sink
Floor Drain
I
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:
o Sewer Replacement 0 Back Flow Preventer C Grease Interceptor(Trap) gallons(Requires 3 sets of plans;
❑ Lawn Sprinkler System Number of Heads ❑ Well _
** SJRWi) Well Completion Form. Completed form A be submitted to the Building Department for final inspection.*'
0 Other •
w.rn.,w memoommi. "erg- osmium
Permit becomes void if work does not commence within a six mouth period or work is suspended or abandoned for Six months.I hereby certify that I have rca
this application and know the same to be true and correct. All provisigs u laws and ordinam es governing this work will be complied with whether specified
or not The permit does not give •ority 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 N ?.{,a) w,r, +i Co Inc Office Phone .9 a` t1A Fa.,&c?'$73
Co. Address: t (7 2 t4-1 1 0.01-S P ; I , E City Stater( Zip e
License Holder, (Print): • t
` Doad■ . S to rtificaxion/Re�.ion#
;T 1 i i l DTI S PP ,5#. 7 /pi/ --u:
e: IssorrfF
'
:;',` wNaP4DbU6,20n Sworn and subs ribed ■efore me s da £
2— 201c
Signature of Notary Public 4;10..- i WS •