318 Aquatic Drive - Plumbing - 9 fixtures .s I ` _ `;S CITY OF ATLANTIC BEACH
J s1
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
-N INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-2974
Job Type: PLUMBING ONLY
Description: Plumbing Only -- 9 fixtures
Estimated Value:
Issue Date: 12/31/2015
Expiration Date: 6/28/2016
PROPERTY ADDRESS:
Address: 318 AQUATIC DR
RE Number: 171818-5106
PROPERTY OWNER:
Name: WIGMORE, CHIRISTINA M
Address: 318 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
Address: 1601 MAIN ST QA JAMES STEEG
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $63.00
Trade Permit Base Fee $55.00
Total Payments: $122.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
. PLv . rG PERMIT APPLICATION
CITY OF ATLANTIC BEACk .
800 Seminole Rd Atlantic Beach FL 32233
Ph(904) 247-3826 Fax(904) 247-5845
PERMIT .
J JOB 3�DRESS: 3 7 l
/
NLW OR REPLACEMENT ,INSTALLATION: Project Values
Tr EOF Frxnare OTT TYPE OFF ?R 027
Bathtub Septic Tank&Pit
Clothes Washer Shower •
Dishwasher Shower Pan
Drinking Slop Sink
Floor Drain unLZ Three Comparxaent Sink • • •
Floor Sink Toilet
Hose Bibs .. • • Urinal Kitchen Sink ------ Vacuttw Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
R. . •
•
TYPE OF FDCITTRE 0 027Y TYPE OFFIXTURE OTY
Bathtub a Septic Tank&Pit
Clothes Washer l • • Shower .
Dish asher Shower Pan • �--�
Drinking Fountain Slop Sink
Floor Dram Three Compat't eat Sink
Floor Sink Toilet —
Hose Bibs Urinal
Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray .
Lavatory - Water Heater 0
Other Fixtures . Water Treating System
MISCELLANEOUS: to
Back FlowPreventer 0 Grease interceptor(Trap) gallons(Requires 3 sets ofp
Sewer Replacement 0 Bac. �.
Lawn Sprinkler System-Number of Heads 0 Well '* at�emt for inspection.
`-`SJRW.D Well Completion Form. Completed form to be submitted to the Bui.Idling Dep
0 Other
_' for- .. . v ceC�� that I have
Pei nit becomes void if work does not commence within a six month period or work is suspended or abandoned'o.sb months.I hpereb, wll ewer y-peci5
this applica on aid lmow the same to be tree and correct All provisions of laws and ordinances governing this sction or the complied
ance of coer peca;
or not. The permit does not give authority to violate tae provisions of anY other sate or local law rcgularion cow P
PropertY Ovvners Name clito4tsli, (,fD$'�4� Phone Number
i / Office Phone z.y7 574/ Fax_____ ----
Pli
Plumbing Company /� C0 / zz 233
Co. Address: 1 1!%� -_ --- City 11 State
License Holder(Print): j/" ,,
State Cerc ucatio',JRegis'aatl on#e
_„&___32/_94.
ora.y oboe State of Florida
£ 20_
• Snlrlay L Cyrgttnrn S ,-7 and sc bed core S ,/day
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. 1r• ..L atu,re ofNotary Pubi-;,- .