1745 Atlantic Beach Dr 15-PLBG-2952 plbg permit , � 'r Jai
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
� / v INSPECTION PHONE LINE 247 -5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 15 -PLBG -2952
Job Type: PLUMBING ONLY
Description: PLUMBING - 24 FIXTURES
Estimated Value: $17,000.00
Issue Date: 12/29/2015
Expiration Date: 6/26/2016
PROPERTY ADDRESS:
Address: 1745 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN PLUMBING CONTRACTORS
Address: 5720 ARLINGTON RD QA RANDOLPH EROL MILLER
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $168.00
Trade Permit Base Fee $55.00
Total Payments: $227.00
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
Ph (904) 247 -5826 Fax (904) 247 -5845 j 3- P l Q 6 Z9 z
JOB ADDRESS: I 4 S MM( 3t4 ege1 D ri ,k. PERMIT # IS SFR -2 trek
NEW OR REPLACEMENT INSTALLATION: Project Value $ I ( 000
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer _I_ Shower 3
Dishwasher Shower Pan 2
Drinking Fountain — Slop Sink
Floor Drain — Three Compartment Sink —
Floor Sink -- Toilet
Hose Bibs 3 Urinal
Kitchen Sink I Vacuum Breakers —
Laundry Tray 1 Water Connected Appliances 1
Lavatory S Water Heater 1'
Other Fixtures _ _ _ Water Treating System
RE -PIPE: v c.
TYPE OF FIXTURE Q TY 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 of any other state or local law regulation construction or the performance of construction.
Property Owners Name '. 4 C. \ ` ,((r Phone Number
Plumbing Company AMer \CAA P ILkenVir15 (Ankract Inc. Office PhoneC9A HS - N93 Fax(1 115-114
Co. Address: 61 LO AtAnko• tanl City T'dx State Fl Zip SZZJ
License Holder (Print): RondoI jh IVI I • State Certification/Registration # 40
Notarized Signature of License Holder _ � - / CE[ 1
Z day oirar� 20
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�• ° " TONI GINDLESP��t1'� this
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EXPIRES: 6, 2019 APAR eli
' ' '- g ond ad Thru Not Pto O r, of Notar Public 0--
1
LIST OF INSPECTIONS
SEQ
ID SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
12/31/2015 12/31/2015
PLUMBING
ROUGH-IN
UNDERSLAB
Mike Jones APPROVED
Notes:
Under-ground Rough / Kyle @ 386-0071
12/31/2015 12/31/2015 PLUMBING
ROUGH Mike Jones CANCELLED
Notes:
Rough Plumbing Inspection / Carl @ 727-1484
11/1/2016 11/1/2016 PLUMBING
ROUGH Mike Jones DISAPPROVED
Notes:
SHOWER PANS
STEVE 510-1519
wrap jambs and install dams
11/16/2016 11/16/2016 PLUMBING
ROUGH Mike Jones APPROVED
Notes:
2 shower pan inspections requested
Steve
510-1519
1/17/2017 1/17/2017 PU SEWER TAP Mike Jones CANCELLED
Notes:
Steve
510-1519
not ready
1/26/2017 1/26/2017 PU SEWER TAP Mike Jones APPROVED
Notes:
WATER & SEWER TAP
STEVE 510-1519
Permit Number: 15-PLBG-2952
Site Address: 1745 ATLANTIC BEACH DR
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 8/14/2017 Approved: 12/29/2015
Issued: 12/29/2015
Parent Permit:
Parent Project:
Applicant: <NONE>
Owner: <NONE>
Contractor: AMERICAN PLUMBING CONTRACTORS
Description: PLUMBING - 24 FIXTURES
Finaled: 8/14/2017
Status: FINALED
Details:
Printed: Monday, 17 August, 2020 1 of 2
Permit Inspections
City of Atlantic Beach
8/14/2017 8/14/2017 PLUMBING FINAL Mike Jones PASSED
Notes:
Printed: Monday, 17 August, 2020 2 of 2
Permit Inspections
City of Atlantic Beach