140 8th St Plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NE)CT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-PLBG-2068
Job Type: PLUMBING ONLY
Description: install 2 tubs, washer, dishwasher, hose bib, 2 sinks,
laundry tray, 7 lavatories, 3 shower pans, 6 toilets, water heater, other fixture
Estimated Value:
Issue Date: 9/14/2016
Expiration Date: 3/13/2017
PROPERTY ADDRESS:
Address: 140 8TH ST
RE Number: 170327-0000
PROPERTY OWNER:
Name: PETTWAY, REBECCA T
Address: 140 8TH ST
GENERAL CONTRAcTOR INFORMATION:
Name: CANNON PLUMBING, INC.
,CFC1426140
Address: 1794 -1002ROGERORD QAOLINMARSHALL
CANNON
Phone:
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $182.00
Trade Permit Base Fee $55.00
Total Payments: $241.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOBADDRESS:_ 1 *0 �tk 5+,r,&+ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FixTuxE QTY TYPEoFFixTURE QTY
Bathtub 2 Septic Took&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray I Water Connected Appliances
Lavatory '7 Water Heater
Other Fixtures I Water Treating System
RE-PIPE:
TYPE oF FixTuRE QTY TYPE op FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
How Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Troy Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
[I Sewer Replacement ii Back Flow Preventer c Grease Interceptor(Trap) gallons(acquires,3 sets of plans)
o Lawn Sprinkler System-Number of Heads C3 Well
**siRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
11 Other
F,motbecorugs void ifmillcdoes not commence within asix month periodorwork is suspended orabandowd for six nowths.I hereby certify that I have read
this application md 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 my other me or local law regulation construction or the performance of construction.
Property owners Name 9 W-A 14~A Phone Number
Plumbing Company i�Alnnan &!n k;;5 Bkf_ Office PhoneJW1__�_ FaxJ2L__9V-2J14
Co. Address: 111 q C dla�fah 5+ city 'Taracterwit, State fL zip look
License Holder(Print): oaij C Ali dod State Certification/Registration# CEC f'1`1411-0
Notarized Signature of License Holder
I JL:,ESl At Swom and subscribed before me this of en&a,— 20__J.�,
ce
rt res 3OLrily 3FF201148432' Signature of Notary Put
ATLANTIC BEACH
PERMIT RECEIPT
September 14,
2016
PERMIT DESCRIPTION: install 2 tubs,washer,dishwasher, hose bib,2 sinks, laundry tray, 7 lavatories,3
shower pans,6 toilets,water heater,other fixture
PERMIT NUMBER: 16-PLBG-2068
ADDRESS: 140 8TH ST
OWNER:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $182.00
Trade Permit Base Fee $55.00
Totals: $241.00
O\Y