457 Sailfish Dr plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
tl ;� 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-2071
Job Type: PLUMBING ONLY
Description: install tub, washer, dishwasher, hose bibs, sink, 4
lavatories, shower pan, 2 toilets, water heater
Estimated Value:
Issue Date: 9/15/2016
Expiration Date: 3/14/2017
PROPERTY ADDRESS:
Address: 457 SAILFISH DR
RE Number: 171374-0000
PROPERTY OWNER:
Name: JAX HOME PRO
Address: 12740-6 Atlantic BLVD
GENERAL CONTRACTOR INFORMATION:
Name: CANNON PLUMBING, INC.
,CFC1426140
Address: 1794 -1002 ROGERO RD QA OLIN MARSHALL
CANNON
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00
Trade Permit Base Fee $55.00
Total Payments: $150.00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
'l ( Ph(904)247-5826 Fax (904) 247-5845 1 to—P(,6a, ao}(
JOB ADDRESS: 4 S 7 J q� '%J Qrl,# Sa54 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FixruRE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank& Pit
Clothes Washer I Shower
Dishwasher 1 Shower Pan I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs _I_ Urinal
Kitchen Sink 1 Vacuum Breakers
Lau:'.9ty Tray Water Connected Appliances
Lavatory 4 Water Heater T
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:
Sewer Replacement Back Flow Preventer a Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads Well "
**SJRWD Wel(Completion Form. Completed orm to be submitted to the Building Department for final inspection.t*
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 nut. I'he permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of constmaim.
Property Owners Name /9 L Hf� 4L G Phone Number gat-3tC•V1L'f
Plumbing Company L."n.^ Reel:.. Tnt. Office Phone 9M-7MLfli Fax#a#, f_oNL
Co. Address: /' /f E C6"k S* City J. kik nulla State.&- Zip 3AAOz
License Holder(Print): Olin Cannan State Certification/Registration# CFCI*1Ll*e
Notarized Signature of License Holder 44-�
^nF tEsuE auF Swom and subscribed before me this 'r day.of� 2014
iF fi0SUE:'FF lMat2 /
' -' ExprerJuyY3,ID1g Signature ofNotary Public
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ATLANTIC BEACH
PERMIT RECEIPT
September 15, 2016
PERMIT DESCRIPTION: install tub,washer,dishwasher, hose bibs,sink,4lavatories, shower pan,2
toilets,water heater
PERMIT NUMBER: 16-PLBG-2071
ADDRESS:457 SAILFISH DR
OWNER:JAX HOME PRO
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $91.00
Trade Permit Base Fee $55.00
Totals: $150.00
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