1370 CAMELIA ST PLBG PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
—oil
PLUMBING PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5614
306 INFORMATION:
Job ID: 16-PLBG-1292
lob Type: PLUMBING ONLY
Description: PLUMBING - 13 FIXTURES
Estimated Value:
Issue Date: 6/7/2016
____kxRi_ration Date: 12/4/2016
PROPERTY ADDRESS:
Adclress� 1370 CAMELIA ST
RE Number: None
PROPERTY OWNER:
Name: SOLAR HOME DEVELOPERS LLC
Address: 2425 Bentshire DR
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00
Trade Permit Base Fee $55.00
Total Payments: $150.00
PERAUT IS APPROVED ONLY M ACCORDANCE WiTH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDENG CODES.
ATLANTIC BEACH
PERMIT RECEIPT
,F,-u �D19;T
PERMIT DESCRIPTION: PLUMBING-13 FIXTURES
PERMIT NUMBER: 16,PUBG-1292 PAID
ADDRESS: 1370 CAMELIA ST So 01
OWNER: SOLAR HOME DEVELOPERS LLC CTy OFNILAS11C BENCH
-117
DATE ISSUED:
FEES DUE:
State PLIAG DBPR Surcharge $2.00
$2')0
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00 ClIN of k7wac NAO,
BN SEKW RD
$. kC FL 30
Trade Permit Bas�e Fee kTLwnc BE , 12.34.39
0610712016 CaMT CAD
%SASkE
S150.00 waw"nBli.
Totals: CARD 4 W03
INOICE 003
SEQ#� 0332
B40#� 03632G
Awov�CA
Brill Yldh0d�
To wark 14
cad C*.
Sg
\j
Cllvwcop
JLIN-07-2016 04:04 From: To:19042475845 Pave:313
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 IG - PL6e - -zc) Z
JOB ADuREss: 12)'�o ra-rnejl�z Stycz)- PERMIT#
;a�l
fW)R REPLACEMENT INSTALLATION: Project Value$
TYPEoFFIxTuge QrY TYPEOFFiXTUR6 QFY
Bathtub SO ank&Pit
Clothes Washer a0l"CUT
Dishwasher Shower Pan
Drinking Fountain I Ihop.1 Cirom
Fluor Drain T partment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchlen Sink 4 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavato Water Heater
Other Rxtuiuss Water Treating System
�E-PIPE: TYPEoFFtxTuRE —QTY TYPE oF FwultE QTF
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain S to p5 Chrkr
Floor Drain T parment Sink —
FloorSink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray WencrConnected Appliances —
Lavatory Water Heater
Other Fixtures Water Treating System
MSCELLANEOUS:
iSewerReplaccurent ci Back Flow Preventer El Orease interceptor(Trap)_gallons(Requires 3 sets Of Plauq)
i Lawn Sprinkler System-Number of Heads 0 Well-77u— **
*&IRWD Well Completion Form. Coarrill rm to be submitted to the ilding Department for final inspection."
i Other
a'
emit becomes void if work docs nor moon"oe within.six month period orwork is suspended or ftinindowd for six months lhMhY0mOY uh,
iisapplimtiwmdknmthe�cWbc�ewdwML All provisions of laws and ordinances governing Ibis work will bc compiled with Whest W.,f:d
root, The permit does not give authority to violets the provisions of my other sure or 1=1 law regulation umutruction or the performance OrCOns"Clion.
C
roperty Owners Name )OJ0 e- Hpo�tV)&!I U-C PhimeNumber
lumbingCompany NW1,41 Ab"A.9, 62nAjMVZLC. Office Phone
Address: .5q.11 35 k35 f-�IjV vJ— City L,21/444,1 state&- zip-?,O//
,icense Holder(Print): 4,14,S 1*141ebl StifteVeritification/Registration# D 51,10
.. ........
�utarized Signature of License Holder -r.49—
lft%Nathan P,Tualter
Swom and subscribed bellbre
OFF152 20J
435 cjmq Y
=ZG 19,201$
Signature of Notary Pit
e�" Iso rums"Nomm.U.0