110 OCEAN GATE DR - PLUMBING �s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2036
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: 110 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: $136.00
I'EoIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BU II.DING CODES.
13
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 1/0 D & c.,69� E— � /lo- / ,- PERMIT#g,
7 - /(pzS
NEW OR REPLACEMENT INSTALLATION: Project Value$ l b Pl,Bel—aa3�0
TYPE OF FIXTURE QTY TYPE OF FIXTURE Qry
Bathtub / Septic Tank&Pit
Clothes Washer / Shower _I.__
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet „7
Hose Bibs .2 Urinal
Kitchen Sink —1--- Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater /
Other Fixtures Water Treating System
j RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
i Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
1 Drinking Fountain SlopSink
Floor Drain Thre 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.**
❑ 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 Name . 4";:i9 Col)E f i/01.?//9T- Phone Number
Plumbing Company /mops/IV/7E A/t' iN4 Office Phone f`) Cj fy, Faxolf7 969/
Co. Address: .&) /0,y gj A( City "1, )9c-i" State f/ Zip -2233
License Holder(Print): A2-W C7+`I LI(z: ' State Certification/Registration#cfc'/9��5�-;y
Notarized Signature of License Holder ikV�� /�
Sworn and subscribed before me 's
of ► . 0 24‘,
Signature of Notary Public . ftly
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4.4„,.% '• TONI GINDLESPERGER
, MY COMMISSION#FF 924951
'"- EXPIRES:October 6,2019
''44:76:7,c, Bonded Thni Notary Public Underwriters