2291 OCEANSIDE CT - PLUMBING '. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j 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: 16 PLBG-360
Job Type: PLUMBING ONLY
Description: PLUMBING - 30 FIXTURES
Estimated Value:
Issue Date: 2/26/2016
Expiration Date: 8/24/2016
PROPERTY ADDRESS:
Address: 2291 OCEANSIDE CT
RE Number: 168846-5140
GENERAL CONTRACTOR INFORMATION:
Name: ASHLEY PLUMBING CO INC
Address: 542435 US Hwy 1
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $210.00
Trade Permit Base Fee $55.00
Total Payments: $322.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
FEB-13-2016 01:56 From: To:19042475845 Page:2'2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH I (o P L B)c-3 & 0
800 Seminole Rd Atlantic Beach, FL 32233 o e
Ph (904) 247-5826 Fax (904) 247-5845 151i/d/(i .frmn'1 c
i
JOB ADDRESS: 02,Q9 f C jar) $°C C t/r 1— i t/C(JJ)C. AEI. _1) _PERMIT# /5-�' -,�7G
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit y
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet LP
Hose Bibs Urinal
Kitchen Sink / Vacuum Breakers
Laundry Tray / Water Connected Appliances
Lavatory Water Heater
Other Fixtures l p!r>�le bowl yTIN Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub r I') Septic Tank&Pit
Clothes Washer J' Shower
Dishwasher ___L__ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink A Vacuum Breakers
Laundry Tray Water Connected Appliances 7C' r
Lavatory = Water Heater
Other Fixtures Water Treating System
VIISCFLLANEOUS:
D Sewer Replacement ❑ Back Flow Preventer D 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
,ermit 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 be complied with whether specified
Ir 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 TI/C S ( s r G071/610101 s --L-0 i'n Asset Pe Number 7fI g—b/0-' 7269
'lumbing Company RSh)f.9 1'/UIh b/r C1/h �( _Inc. Office Phone 9 y�39 '1/'Fax 94 i'- 9f--o5 c2
-2o. Address:9h 35 ( /Hwu I C ik.h&() City 04,40-)1C4 State Zip 3 aQ/?
License Holder(Print): C. !riMr>pher S 1k �.� State Certification/Registration# CFC-0 S78
Notarized Signature of License Holder ...r
;.. Lt C mti�on#'FF152 of Sworn and subscribed before J �ys C. 20 /Ga•1�'' .lEx;>rec:AUG 19,20018 Signature of Notary Publi,/ - . �,/
,?.F ,- naHO 0:
3 01'ClL'NIO►.41QtASh.LI.L"
FEB-13-2016 01:56 From: To:19042475845 Pa9e: 1'2
Ito": ASHLEY PLUMBING 904-393-7959 phone
.r:w
542435 US Hwy 1 904-399-0552 fax
Callahan, Florida 32011 kellycashleyplumb;nginc.com
2/12/2016
This job is different than we normally do for Atlantic Beach so I wanted to make sure T captured
it the best I could. We are re-piping a portion of the home and just replacing fixtures in a portion
of the home. Please call me if you have any questions at all. I won't be able to make it out there
to pay for the permit till Monday sometime.
Thank you,
Office Manager
Ashley Plumbing Company Inc.
Kelly Riggs
904-393-7959
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