2346 OCEANFOREST DR W - PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-19
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1-1.J;S]Jr
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-1865
Job Type: PLUMBING ONLY
Description: PLUMBING - 6 FIXTURES
Estimated Value:
Issue Date: 8/16/2016
Expiration Date: 2/12/2017
PROPERTY ADDRESS:
Address: 2346 W OCEANFOREST DR
RE Number: 169463-1564
PROPERTY OWNER: — –Name: MONTAGNA, JULIUS & TINEKE, *
Address: 2346 W OCEANFOREST DR
GENERAL CONTRACTOR INFORMATION:
Name: TROY TRAWICK PLUMBING CO, INC
Address: 6228 LOTTIE ST QA JOHN TROY TRAWICK
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $42.00
Trade Permit Base Fee $55.00
Total Payments: $101.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH / PL ( �
800 Seminole Rd Atlantic Beach, FL 32233 4�
Ph(904)247-5826 Fax (904)247-5845 /6-Rd pD _ 5°5
JOB ADDRESS: 2 3 L/ , ()Jest- 0 Cedi„ Fa c -ef f I) v' PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan ___L___
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet ___t___
Hose Bibs _l__ Urinal
Kitchen Sink _i___ Vacuum Breakers
Laundry
Tray f Water Connected Appliances
Lavatory Water Heater
Other Fixtures _L__ Water Treating System
RE-PIPE: (9
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
LavatoryWater Heater
Other Fixtures t( -F Water Treating System
MISCELLANEOUS:
o Sewer Replacement o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Sprinkler System-Number of Heads o Well **
**SIRWD 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 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 NameeK ��, /4'e ) '1 G4 r e PPC, Phone Number
Plumbing Company / o y.-�iei9W( x P/vim 61 Ca� Office Phone 7 L 1 --vim Fax 7 Z/-S'f49
Co. Address: 2 117 0 G 'r z R 0 City JV( State Ft Zip .322 K6
License Holder(Print): _TO A v 77 f 14 J f f/C ate Certification/Registration# C F61112_4097
Notarized Signature of License Holder //-&-.1 , --- --- - a
/401i:.,•••., TONI GINDI.ESPERGER efore me this day o' .,.,ia1 (11 '0 I s
le '' MY COMMISSION Y FF 924951 ► — mur
3. 4EXPIRES:October 6,2019 ignature of Notary Public • �►Ilk iii,
',/Ctir Bonded Pim Notary Public UnderwritersII