900 Plaza #41 plbg permit ?S�IIr
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I CITY OF ATLANTIC BEACH
j 800 SENHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-PLBG-1901
Job Type: PLUMBING ONLY
Description: UNIT#41 - install new washer, sink, lavatory, shower, toilet
Estimated Value:
Issue Date: 6/22/2016
Expiration Date: 2/18/2017
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: EASTERDAY PLUMBING INC
Address: 6653 PWOERS AVE APT 241 QA GREGORY ALAN
EASTERDAY
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDWANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH p "
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
Jos ADDRESS
�?0 _�� PERMIT#�— 1101
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE QTY TYPEoFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer �— Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain
Floor Sink Three Compartment Sink
Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory1_ Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFIXTURE QTY TYPEoFFDrwRE 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 **
**S/RWD Well Completion Form. Completed form to be submitted to the Building Department for fmat 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 tme and correct. Allprovisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give authority to violate the pro v mns ofany oNer state or local law regulation construction or the performance of construction.
Property Owners Name���S_ C dit/!e�/,q/{ Phone Number
Plumbing Company /J6' L Office Phone Fax I
Co.Address: 5573�j Glr I_,g a CiStateR zip3J.2c-
License Holder(Print State Certification/Registration#CO C�If
r
Notarized Signature of License Halder
Before me this day f 2 o
: rtNa nikY11E6t FRF Ea
;. EXPIRES October a�ISi at[rre of Notary Public
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