720 PARADISE LN - PLUMBING \S\ CITY OF ATLANTIC BEACH
= 800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-2074
Job Type: PLUMBING ONLY
Description: install 2 tubs, washer, d/w, drain, 2 hose bibs, sink, laundry
tray, 5 lavatories, shower, shower pan, 4 toilets, 2 vacuum breakers, heater, trmt sys.
Estimated Value:
Issue Date: 9/15/2016
Expiration Date: 3/14/2017
PROPERTY ADDRESS:
Address: 720 PARADISE LN
RE Number: 172376-0235
PROPERTY OWNER:
Name: WHW INVESTMENT MANAGEMENT LLC
Address: 1 INDEPENDENT DR STE 1600
GENERAL CONTRACTOR INFORMATION:
Name: B & G PLUMBING CO., INC.
, CFCO22593
Address: 2232 CORPORATE SQUARE BLVD QA GENE
CHRISTIAN ROVER
Phone: - -
FEES: -- --- -----
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $189.00
Trade Permit Base Fee $55.00
Total Payments: $248.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
PLUMBING PERMIT APPLICATION VIP
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
11,9— P L
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LOB ADDRESS: 7 2 0 ()a.ra. 8.i S 2 L 12,,c, PERmuLT#
y
VEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY
Bathtub Q. Septic;Tank&Pit —•
Clothes WasherShower. I
Dishwasher Shower Pan i
Drinking Fountain - Slop Sink
Floor Drain t Three Compartment Sink —
Floor Sink — Toilel: 11
Hose Bibs a, Urinal
Kitchen Sink I Vacuum Breakers 2,--
Laundry Tray Water Connected Appliances a
Lavatory Water Heater i
Other Fixtures Water Treating System 1
RE-PIPE:
TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY
Bathtub Septi:Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs UrinE1
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory • Water Heater
Other Fixtures • Water Treating System
MISCELLANEOUS:
o Sewer Replacement ❑ Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o 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 T have read
this application and know the same to be true and correct. All provisions of laws and ordir ances 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 -,SP-I.4\J c efl-Dt�G As hL- Phone Number
Plumbing Company \ or G-?t...,w. L ws (... _Office Phone ?Ott-213-303'T Fax 90 41 413—3)
Co. Address:a)3.1 ' o 0-6,1 r S QustAe DLa City 14 c.ktio•.tit(le State t t Zip 3 22,4License Holder (Print): C-Yw c. d-. 2 c u c- State Certification/Registration#
11 o rz ,ligxcriffic g'ki r:e Holder
Sworn and subscribed before if," 's I J day of A'.i.4vt,I 20/6
I • Coo si"•F S47$36 Signature of NotaryPublic / t ' • /
'•,t.a: Mr Comm.tapirs Mor it
600 Mfg*Now owl Apo.