1805 ATLANTIC BEACH DR - PLUMBING ' "'= CITY OF ATLANTIC BEACH
1TS,
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-2535
Job Type: PLUMBING ONLY
Description: PLUMBING - 19 FIXTURES
Estimated Value:
Issue Date: 10/27/2015
Expiration Date: 4/24/2016
PROPERTY ADDRESS:
Address: 1805 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DARLEYS PLUMBING INC.
Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY
Phone: - - --
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $133.00
Trade Permit Base Fee $55.00
Total Payments: $192.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 S PL3
Ph (904) 247-5826 Fax (904) 247-5845 - Z535
JOB ADDRESS: I g o�� Ai.LA-J.77-c- PERMIT# IC-CFA— 222-1
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1- Septic Tank& Pit
Clothes Washer 1 Shower _1
Dishwasher r Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs 2 Urinal
Kitchen Sink �— Vacuum Breakers
Laundry Tray I Water Connected Appliances
Lavatory 14 Water Heater
Other Fixtures Water Treating System I
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 o 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.**
L3 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 10,, aao,14EA-5 Phone Number
Plumbing Company OAnv-A``c ?L I JC_ Office Phone in-1-INSN Fax -7I-7-1`(4
Co. Address: £' �7Z Ptf ci-VS. tfv)Y City JAr✓rs0,0.1-C4A4 State re C- Zip 322,o'7
License Holder(Print): 4+-L L . 644-a__ State Certification/Registration # C r-05770 z
Notarized Signature of License Holder OA a,_
JOANNE MEHL orn and subscribed before m this g444" day of nC *-- 201 S-
Notary Public-State of Florida ignature of Notary Public
�` •E My Comm.Expires Aug 29,2016
Commission #EE 829576
Bonded Through National Notary Assn.