423 Irex Rd 2016 Plumbing 1,.:11,,fie,
t, vipp) CITY OF ATLANTIC BEACH
SA 800 SEMINOLE ROAD
5 r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4J;319�
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-1555
Job Type: PLUMBING ONLY
Description: PLUMBING - 10 FIXTURES
Estimated Value:
Issue Date: 7/11/2016
Expiration Date: 1/7/2017
PROPERTY ADDRESS:
Address: 423 IREX RD
RE Number: 171414-0000
PROPERTY OWNER:
Name: DANCEL, FELIPE
Address: 416 IREX RD
1 GENERAL CONTRACTOR INFORMATION:
Name: RYAN RAMSEY PLUMBING INC
Address: 198 Foxridge RD
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 BEAC11 ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
_ CITY OF ATLANTICBEACH
800 Seminole Rd Atlantic Beach, FL 32233 n
Ph(904)247-5826 Fax(904)247-5845 1 (o _r (.Be _ 1, J J
JOB ADDRESS: La 3 /R F r R PERMIT#
• Value
NEW OR REPLACEMENT INSTALLATION. Project $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer _L_ Shower
Dishwasher ___L_ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink i Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory .'t Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE Qn'
Bathtub Septic Tank&Pit
Clothes Washer _____L____ Shower
Dishwasher ____L_.__ Shower Pan _I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink _1_ Vacuum Breakers
Laundry TrayWater Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
o Sewer Replacement ❑ Back Flow Preventer ❑ 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
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 , ./,//F b A*NL,e L. Phone Number
Plumbing Company e p4.3 R+4 04.5 FA/54/01,n -."c Office Phone( 0 )V 96/taxt/�'
Co. Address: I $ FoyAtc{g a let City a6.,../. Agee State FL Zip 32065--
License
206-License Holder(Print): ark...) ►a5sy .to - .,ification/Registration# LPG/WSsi8
Votarized Signature o Lic - er
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��MMISSION t FF 924951 •' fore me this
Y� Mr ;so•iOCto•r 6,2019 _1
,:f `¢}1 1 t •y J cjtle ._
. � I sip UnderNote }-nature of Notary Public
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