900 Plaza #58 plbg permit CITY OF ATLANTIC BEACH
}. 800 SEMINOLE ROAD
j 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-1899
Job Type: PLUMBING ONLY
Description: UNIT#58- install new washer, lavatory, shower, toilet
Estimated Value:
Issue Date: 8/22/2016
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 $28.00
Trade Permit Base Fee $55.00
Total Payments: $87.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION S--c
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 ,).
Ph(904)247-5826 Fax(90044))2(4,7-5845
JOB ADDRESS: 2 �� � i4 'T,T/- J jf PERMIT'#
NEW OR REPLACEMENT INSTALLATION: Project Value 8
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer ZShower Z
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 _ I__. Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oicFIXTURE QTY TYPE oFFIXTURE 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 +•
**&IRWD 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 than I have read
this application and know the same to be One 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 S CCt�/S Phone Number
Plumbing Company 'lt71£ce Phone F
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Co. Address: F. ,Q4CiTy .tAsc State Zip %4as
License Holder(Print): Q State Certification/Registration#CFC. A4?6 79
Notarized Signature of License Holder
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