1817 SHERRY DR - PLUMBING -S y�J�f�
f1 f CITY OF ATLANTIC BEACH
41- 800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.N J
�1 r J� c��
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-934
Job Type: PLUMBING ONLY
Description: WATER HEATER
Estimated Value: $215.00
Issue Date: 4/22/2016
Expiration Date: 10/19/2016
PROPERTY ADDRESS:
Address: 1817 N SHERRY DR
RE Number: 172020-0782
PROPERTY OWNER:
Name: MCDERMOTT JR, WALTER F
Address: 1817 NOORTH SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: A J MOREL PLUMBING INC
Address: 8915 CASTLE ROCK DR ARTHUR JAMES MOREL
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State PLMG DCA Surcharge $2.00
State PLMG DBPR Surcharge $2.00
Plumbing Fixtures $7.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
04/21/2016 12: 11 9043745198 AJ MOREL PLUMBING PAGE 02/02
PLUMBING PERMIT APPLICATION 6e6 3
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 'S I NI Sh... D :. • ` . : -A .. rt. 322. PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ 2-15 vo
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
Other Fixtures _ Water Treating System - 1\ tft
RE-PIPE: C� 3 ■
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY 4,,\
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 _[___
Other Fixtures Water Treating System
MISCELLANEOUS:
w Sewer Replacement Back Flow Preventer O Grease Interceptor(Trap) _gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads 0 Well **
*SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection,"
Other replace. e_x4 51-1 ni3.iyality hPn _ —
Permit 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
this 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
or 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.
Property Owners Name JIA.4,I Th liA c_be_-rrro f Phone Number qC�i
Plumbing Company A J,Mote Pi ti vybif'1C, I r'\C. Office Phone g ..(0-0?97 Fax. `37`f-.5/9S-
co. Address: Rci V Lie Rock--.D1-, City Joicgonville, State 9 Zip 3Jr7,-})
License Holder(Print): A Yutr-J . MO re- State Certification/Registration# Crc lqa o‘
Notarized Si:nature a Lice_ : . rider �...e_ _1111L J
'"! , SUSAN P. CARLlLE Sworn an. subscribed before me ;*s /. day of 6 20 f(o
. � ''•! MY COMMISSION#FF084426 / - '
l`3 t ' EXPIRES January 20.2018 Signature of Notary Public I i,de..fis - c. -
(401)308.015.3 FioridaNctaryServica.com