1133 E LINKSIDE CT PLBG PERMITCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-1386
Job Type:
PLUMBING ONLY
Description:
PLUMBING - 10 FIXTURES
Estimated Value:
Issue Date:
6/16/2016
Expiration Date:
12/13/2016
PROPERTY ADDRESS:
Address:
1133 E LINKSIDE CT
RE Number:
172374-5090
PROPERTY OWNER:
Name: BEAUDREAU ET AL, ROBERT BRUCE
Address: 1133 E LINKSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
Address: 1601 MAIN ST QA JAMES STEEG
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
(':,-7 -PL6C -138
JOB ADDRESS: _�3 3 I( /�kj/ �-G lr� PERMIT #
NEW 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
Other Fixtures
Water Treating System
RE -PIPE:
TYPE of FIXTURE
QTY TYPE of FIXTURE QTY
Bathtub
�� Septic Tank & Pit
Clothes Washer
Shower Z
Dishwasher
Shower Pan
Drinking Fountain
Slop Sink
Floor Drain
Three Compartment Sink
Floor Sink
Toilet 2,
Hose Bibs
—� Urinal
Kitchen Sink
Vacuum Breakers
Laundry Tray
Water Connected Appliances
Lavatory
_2 Water Heater
Other Fixtures
Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System -Number of Heads ❑ Well **
** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ 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 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 h M i te.- /1 Phone Number
Plumbing Company ��� ��y�k.L Office PhoneFax
Co. Address: f �J� �IkrlIL City L ��it State rL Zip 3Z4
License Holder (Print): rte I it I State Certification/Registration #_/ ir
v
Notarized Signature of License Holder �i�i
TONIGINIXE3PEROER Before n#his day o 20
MY COMMISSION # FF 924951
EXPIRES:Ocfter6.2o19 Signature of Notary Public
of P Bonded Thru Notary Pubk Underwriter