825 PLAZA 2016 PLUMB ! '\J`J\
,� ;, - ' s� CITY OF ATLANTIC BEACH
0 800 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 -549
Job Type: PLUMBING ONLY
Description: repipe 11 fixtures
Estimated Value:
Issue Date: 3/7/2016
Expiration Date: 9/3/2016
PROPERTY ADDRESS:
Address: 825 Plaza
RE Number: 171113 - 0000
PROPERTY OWNER:
Name: GIPSON, JAMES E
Address: 2726 DAHLONEGA DR
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
Address: 1601 MAIN ST QA JAMES STEEG
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State PLMG DCA Surcharge $2.00
State PLMG DBPR Surcharge $2.00
Plumbing Fixtures $77.00
Total Payments: $136.
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERWIT APPLICATION
. • CITY OF ATLANTIC BEACI- .
800 Seminole Rd Atlantic Beach PL 32233
Ph (904
v )247 -5826 Fax (904) 247 -5845 •
JOB i/ OB ADDRESS: � /� eC =��fj ' � C Z PERM
U
E Ob REPLACTNENI iJ S TALLA,T1ON: Project Value $
.i; OF FravKe . • On- TYPE OFFLTIVR . an(
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Siop Sink
Floor Draw. Three Compartertt Sink
Floor Sink Toilet
Hose Bibs • . ' • Urinal
Kitchen Sink i" V acorn Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures • • Water Treating System •
-FEE; .
TITE OFFECIT,?E • Oa TYPE OF F2TORE • OTT'
Bathtub Septic Tank & Pit
Clothes Washer / Shower .
Dishwasher . Shower Pan • .
Drinking Founu Slop Sink
Floor Drain Three Compar=ent Sink
Floor Sink Toilet
Hose Bibs 2— Urinal
Kitchen Sink / Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory x Water Heater
Other Fixtures Water Trea g System •
x. ASCELLANEO S:
Ei Sewer Replacement 0 Back Flow Prev enter 0 Grease Interceptor (Trap) gallons (Regi h es 3 sets of pia:
E. Lawn Sprat ler System Number of Heads 0 •'`Nell . '* ectioa,
`=` SJtR RRp Well Completion Form. Completed form to be submitted to the Building Department for £�a sp
Other
vice thatl haJe;
Permit it becomes void u work does not commence within a six month period or work is suspended or abandoned for six months - I hereby
whether specLu
this application and k ow the same to be true and correct All provisions of laws aid ordinances governing this WO( oil of co pH ma with
of consp�jo
Or not- The permit dots not give authority to violate the provisions of any other swe or local law regr•lation cons p
Phone Nwmber
a, over ;J Owners Name CMYn
°fa ce Phone Fax______-- -
Plumbing Company c / � Zip Z -
Co - Address:
ii/ • // •) 5 City c " State �P037/9�
LcatioriReestation Y
Rol.
State Cercw
X:F�enSeQ y. - ..•.: - - -
�o�` vie, Notary Public St �f¢F i a � —
orarizedt j • '` Or" ' , ., T �tei ba �/ 4
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2.00
v ' 9 � rY Commisaon FF 086990 , 77 �,
C OI ftP Expires 02 /14/2018 SWOra : id. '�bSeri befog �� 4. • : Siture of Notat, P ublic a--