1303 BEACH AVE PLUMBING PERMIT ; s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
j.i 0.21>Y
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-1442
Job Type: PLUMBING ONLY
Description: PLUMBING - 16 FIXTURES
Estimated Value:
Issue Date: 6/27/2016
Expiration Date: 12/24/2016
PROPERTY ADDRESS:
Address: 1303 BEACH AVE
RE Number: 170296-0000
PROPERTY OWNER:
Name: LAMBROU JR, FRED H
Address: 1998 RIVER RD
GENERAL CONTRACTOR INFORMATION:
Name: J WHITEHEAD PLUMBING INC
Address: 12811 BEAUBIEN RD JASON WHITEHEAD
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $112.00
Trade Permit Base Fee $55.00
Total Payments: $171.00
PERMIT IS APPROVE]) ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
1 I. i IC REACH -
800 Seminole Rd Atlantic Beach, FL 32233 Q
Ph(904) 247-5826 Fax(904)247-5845 1 5 PL-cBG `k14
JOB ADDRESS: I � 340g PERMIT# I5 t- 25`l _
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer 1 Shower
Dishwasher •1 Shower Pan 7.
Drinking Fountain Slop Sink
Floor Drain —1--- Three Compartment Sink
Floor Sink Toilet —S--
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater i
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower ::
Dishwasher
`nom Shower Pan ��.:
Drinking Fountain tl': Slop Sink f %
Floor Drain j : Three Compartment Si I k!o.
Floor Sink ''`.%a.�.� Toilet '�:,
Hose Bibs ����� :� Urinal !'i�►;
Kitchen Sink
a../
Vacuum Breakers V
Laundry Tray 41; Water Connected Appliance. if.
Lavatory �
�'- ;`7 Water Heater :'
:•, _
Other Fixtures `, .,7%•;
= Water Treating System
lee
MISCELLANEOUS:
❑ Sewer Replacement 0 Back Flow Preventer 0 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.**
o Other
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 cone . All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give aut riy to violate the provisions of y other state or local law regulation construction or the performance of construction.
�
Property Owners N "�'+) 4 Phone Number
Plumbing Company` i % Office Phone 61041QFax k'.--<M VA
Co. Address: ‘2550 V ra` City State t Zip3.2.1Vb
License Holder(Print): I% l 1 State Certification/Registration# (X KI
Votarized Signature o Lic•i • • a a 'r 007
41;4:---:
, TONT MISSION I F SFR B;• ore me this Z� da o' i : 11; 1
:,: MY COMMISSION t FF 924951 I y
EXPIRES:October 6,2019
a eeen� Pack tnden"`- afore of Notary Public _ • i
1