720 W 14TH ST - PLUMBING ti;°'1-ii \I\J j- ,
;` \ CITY OF ATLANTIC BEACH
-. j 800 SEMINOLE ROAD
47 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-2821
Job Type: PLUMBING ONLY
Description: 14 FIXTURE NEW SERVICE
Estimated Value:
Issue Date: 12/8/2015
Expiration Date: 6/5/2016
PROPERTY ADDRESS:
Address: 720 W 14TH ST
RE Number: 171050-0004
PROPERTY OWNER:
Name: CONLEY ET AL, MICHAEL
Address: 720 W 14TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ASHLEY PLUMBING CO INC
Address: 542435 US Hwy 1
Phone: - -
FEES:
Trade Permit Base Fee $55.00
Plumbing Fixtures $98.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Total Payments: $157.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
DEC-08-2015 02:30 From: To: 19042475845 Pase: 1'1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS:2c2O 401 r- - f PERMIT# )5— .2Lo Li ti
ado of , . 0 -r - 32Z?
NEW OR REPLACEMENT INSTALLATION: Project Value $_
TYPE OF FIXTURE ry
Q TYPE 0P FIXTURE QTY
Bathtub / Septic Tank& Pit
" Clothes Washer / Shower ___/_____
Dishwasher /_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet p
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances /
Lavatory 3 Water Heater _ j
Other Fixtures Water Treating System
RE-PIPE: /
TYPE OF FIXTURE QTY i, TYPE OF FIXTURE
QTY
Bathtub Septic Wank& 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 I
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
VI1SCELLANEOUS:
Sewer Replacement D Back Flow Preventer O Grease Interceptor (Trap) gallons(Requires 3 sets of plans) '
Lawn Sprinkler System-Number of Heads 0 Well **
h* VRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
D Other
'omit 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
his application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he complied with whether specified
>r 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.
'roperty Owners Name Solar Homes Phone Number 904-246-9900
'lumbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959_Fax904-399-0552
}o. Address: 542435 US Hwy 1 City Callahan State FL Zip 32011
,icense Holder(Print): CHRISTOPHER S ASHLEY St e r 'fication/Registration# CFC057804_
Vutari ;, Signature ef�Lic nse Holder
�'., .. Nathan P 7�rcr ; ...-
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