355 Sailfish Dr - Water heater, Kitchen Sink and Shower _ I I / / /
// i
r / CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
/ ATLANTIC BEACH, FL 32233
-
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -PLBG -244
Job Type: PLUMBING ONLY
Description: PLUMBING - WATER HEATER, KITCHEN SINK AND SHOWER
Estimated Value:
Issue Date: 2/1/2016
Expiration Date: 7/30/2016
PROPERTY ADDRESS:
Address: 355 SAILFISH DR
RE Number: 171385 -0000
PROPERTY OWNER:
Name: QUEST, JOSEPH T
Address: 355 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE QA DAVID FRED GRAY
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 08 10 12:54p Information Systems0I TY 0 904-247 -5845 p.1
PLUKBING PEI IT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 2
Ph (904) 247 -5826 Fax (904) 247 -5845 I CO P L [2 6 - Z.4 4-
JOB ADDRESS:
/1 d , 0 � 1 L 7 I4 PERMIT #
NEW OR 1 EPLA MENTY' INSTAT .L,ATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF .F=URE OTT
Bathtub Septic Tank & Pit
Clothes Washer Shower
'Shower Pan
Drinking Fotminin Slop .Sink
Floor Drain Three Compartment Sink .
Floor Sink Toilet •
Hose Bins Urinal •
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
- O
,.,.,. �J �y�]�
Other 'F„a„res Water Treating System
RE -r L "••:
TYPE OF U.T E QTY TYPE OF FravRE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Slop Sink
Flor Drinking Fountain =_ __ Three Compartment Sink
Floor Sink Toilet
Hose Bibs Ural
Kitchen Sink Vacuum. Break s
Laundry Tray Water Connoted Appliances
Lavatory . Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of pa )
❑ Law Sprinkler m-N rnber oil 0 Well **
** S.TRWD Well Completion Fort. Completed. form to be submitted to the Building Department for final inspection..**
510ther . al..1Ceil l r i � 1 0 7 w l e r krOthai f t i n t . 4 - L l 4 ( 4 ' i J / AO' ICJ
Permit becomes void if work does net commence within a six month period or wort is suspended or abandoned for six months. I hereby certify that I have read
this application and know the sam to be nue and correct. Al previsions of law o
s and ordinances governing this trs will be complied with whether specifed
or not The permit does not ' e ority ohne the provisions of any other state or local law regulation construction or the performance of construction.
D o erty Owners Name ` ¢ Phone Ntnnber 04-- l -1
�
�—
Pilwribing Company S'�i Grey PkiTlib�l6� ��C, 72- 4) Fax X 73- �
, Office Phone
8350 Corporate Square Court
Co. A. rirtress: I- _ ;, ,-,..-,-,11-..• City State Zip
U'v.i4 = .��.•:�. � ' ri ^•' +.i t.
License ,ogler ('tint): 17-, iv Y . State Certi cationlRegisir on+ # £ o
Notarized Sii,onatzare of Licarse Holder �� % ��
Swam and subscx± bed before rue thi. $ I W day of 20 /4
Signature of Notary Public __LA..1t ._y
Notary Public State of Florida
Wendy Rayle •
y � � + t My Commission FF 133678 •
"4e,,pd' Expires 06/17 /2018