106 OCEAN GATE DR - PLUMBING (2) ; " CITY OF ATLANTIC BEACH
- J 800 SEMINOLE ROAD
N 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-2035
Job Type: PLUMBING ONLY
Description: install new tub, washer, 2 hose bibs, sink, 2 lavatories,
shower, 2 toilets, water heater
Estimated Value:
Issue Date: 9/12/2016
Expiration Date: 3/11/2017
PROPERTY ADDRESS:
Address: 106 OCEAN GATE DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Address: P 0 BOX 49225
Phone: 904-247-9848
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $77.00
Trade Permit Base Fee $55.00
Total Payments: $136.00
'411 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0 Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: /D/ �lF / A>Q. PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ I (O—PL661 ---- .05--
TYPE
05'TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank&Pit
Clothes Washer I Shower ___L__
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 .V Water Heater /
Other Fixtures Water Treating System
RE-PIPE:
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
MISCELLANEOUS:
o Sewer Replacement o Back Flow Preventer 0 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.**
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 Qf any other state or local law regulation construction or the performance of construction.
Property Owners Name Xe-i9 e4 t c m)02,/,yr'" Phone Number
Plumbing Company 6)09 AolV/7E 1OIVii '31N6 Office PhoneM1 ' Faxv4f7 969/
Co. Address: g) y a /V City "1, f94- State f/ Zip 32233
License Holder(Print): E--7J2-FK C7/Ci g u State Certification/Registration#L'fC'Aa 59<-9
Notarized Signature of License Holder
Sworn and subscribed before me 's a.y of 201 bSignature of Notary Public SZ--
70N1GINDIESPERGER
W COMMISSION*FF ::,....i,
EXPIRES:Octob7
ES
Bonded ThN Notaryvi.