1227 VIOLET ST - PLUMBING '; r '"r
1
e; , v3` CITY OF ATLANTIC BEACH
j 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-755
Job Type: PLUMBING ONLY
Description: 12 FIXTURES
Estimated Value:
Issue Date: 3/29/2016
Expiration Date: 9/25/2016
PROPERTY ADDRESS:
Address: 1227 VIOLET ST
RE Number: 171009-0000
PROPERTY OWNER:
Name: HSBC BANK USA NA, hsbc
Address: 385 5TH ST
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
State PLMG DBPR Surcharge $2.00
Plumbing Fixtures $84.00
Total Payments: $143.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAR-30-2016 02:34 From: To:2475845 Pa9e:3'3
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH //9 -19/Q - 7 `
800 Seminole Rd Atlantic Beach, FL 32233 F
Ph(904) 247-5826 Fax(904)247-5845
IOB ADDRESS: \ )i V(D\ek 5\Y ex..A -- PERMIT#
11,0444R- It
YEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY 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 I
Other Fixtures Water Treating System
1 .E-PIPE: �
TYPE OF FIXTURE QTY 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 ?j Water Heater
Other Fixtures Water Treating System
VIISCELLANEOUS:
3 Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
] Lawn Sprinkler System-Number of Heads ❑ Well **
'* SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
3 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
lis application and know the same to he true and correct. All provisions of laws and ordinances governing this work will he complied with whcthcr spccificd
r not. The permit does not give authority to violate the provisions of any other state or local law regulation construction nr the performance of construction.
'roperty Owners Name Solar Home Developers LLC Phone Number 904-472-1459
9umbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959_Fax904-399-0552
:o. Address: 542435 US Hwv 1 City Callahan State FL Zip 32011
.,icense Holder (Print): CHRISTOPHER S ASIES'•,._ State Ce ' 1 fon/Registration#CFC057804_
Valorized Signature of License Holder
� ---
"Ft\ � WNa n Sworn and subsscribi'd'before • 1 4%� V f Car+m sloe M FF1524355 .t- - w 1 44,6� AUG 19,"18 Signature of Notary Puh lc — . / --
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