2337 BEACHCOMBER TR - PLUMBING �< y\J\1.
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" CITY OF ATLANTIC BEACH
" J 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-1992
Job Type: PLUMBING ONLY
Description: replace tub, 2 lavatories, shower pan, toilet (5 fixtures)
Estimated Value: $500.00
Issue Date: 9/1/2016
Expiration Date: 2/28/2017
PROPERTY ADDRESS:
Address: 2337 BEACHCOMBER TR
RE Number: 169463-0146
PROPERTY OWNER:
Name: CUNKLE, CURTIS & JULIA H, *
Address: 2337 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: HARRY L HAYES PLUMBING INC
CFC1427058
Address: 6837 OAKWOOD DR HARRY L HAYES
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERIIIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 2331 a_,G c.-_\„ c a r,,b,c i E ms, \ 3g,7.3.3 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ 50-6,
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub _i___ Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan _J_
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet _____L_
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory a 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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ 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 CUNKLE Phone Number
Plumbing Company Harry L Hayes Plumbing, Inc. Office Phone 904-723-5609 Fax 904-329-4325
Co. Address: 130 Arlington Road South City Jacksonville State Zip 32216
License Holder (Print): Harry Hayes . .te Certification/Registration# CFC1427058
No ;ted 'anaW r�of Lic n i Holder i ; p i''
C '' ti= LAURA HOWELL CRE6ER S orn and subscribed before e this41' ay of 201
� Notary Public-State of Florida
ip
o, Commission*FF 17sii31 S' nature of Notary Pus lc A; �, / _ �i►,�
'�gs�t;".o My Comm.Expires Nov 2S,201f1 �