1157 VIOLET ST - PLUMBING (i l 4'' �S, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
\ ; /";� ATLANTIC BEACH, FL 32233
/ INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-957
Job Type: PLUMBING ONLY
Description: PLUMBING - 14 FIXTURES
Estimated Value:
Issue Date: 4/25/2016
Expiration Date: 10/22/2016
PROPERTY ADDRESS:
Address: 1157 VIOLET ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ASHLEY PLUMBING CO INC
Address: 542435 US Hwy 1
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $98.00
Trade Permit Base Fee $55.00
Total Payments: $157.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
IWILDING CODES.
APR-25-2016 22:28 From: To:19042475845 Page:2/2
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
l / l,,Phh (9(0``4)247-5826 Fax (904) 247-5845
157 V ok J P PERMIT# &` P��� ` 9 s7
JOB ADDRESS:
r ILI• G : a? _ A - •
NEW 'I R REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub __L____ Septic Tank&Pit
Clothes Washer Shower I
Dishwasher _I Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet pk
Hose Bibs ; Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory --75— Water Heater
Other Fixtures Water Treating System
RE-PIPE: \
TYPE OF FIXTURE Qry 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
VIISCELLANEOUS:
7 Sewer Replacement O Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
7 Lawn Sprinkler System-Number of Heads ❑ Well **
4* SJRWD Well Completion Form. Completed tbrm to be submitted to the Building Department for final inspection.**
7 Other
'crmit 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
>r 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 Solar Home Develo ers LLC Phone Number 904-472-1459
'lumbing Company ASHLEY PLUMBING C. Office Phone 904-393-7959_Fax904-399-0552
L'o. Address:- 542435 US Hwy 1 City Callahan State FL Zip 32011
License Holder(Print): CHRISTOPHER S.ASHLEY State Certification/Registration#CFC057804_
Votarized Signature of License Holder t.:..4.-.1-.---' ' ''�:.
�,,�,�y'. Nathan P.TuckBf Sworn a4- sbiibe'dbefore • e thi
'' ►=Comtas Ff 152435 '
1'•l� "=>xpiree AUG 16,2018 Signature.of Notary i Public �-�"-"
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