23 Coral St plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2098
Job Type: PLUMBING ONLY
Description: PLUMBING - 30 FIXTURES
Estimated Value:
Issue Date: 9/19/2016
Expiration Date: 3/18/2017
PROPERTY ADDRESS:
Address: 23 CORAL ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: SUNSHINE STATE PLUMBING
CFC1426859
Address: 1340 TRAILWOOD DR MICHAEL TROY PORTER
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $210.00
Trade Permit Base Fee $55.00
Total Payments: $269.00
PERMIT 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
Z3
�+ �Phh(904)247-5826 Fax(904) 247-5845 (�-PL'Z ZO9 z
JOB ADDRESS: ZJ C W<_t� 1 . /TICn l} Au FL, 17 ul PERMIT# - FA- I It. y
NEW OR REPLACEMENT INSTALLATION: Project Value$2 L S9•o._
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Bathtub q- Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet Z
Hose Bibs 3 Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory _ Water Heater
Other Fixtures = 1 ater Treating System
RE-PIPE: J
TYPEoFFAXTURE QTY TYPEOFFIXTURE 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 **
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit bewmes 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 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 constmetion or the performance of wmauction.
Property Owners Name C1,4` S G✓'k�C:i-I. Phone Number%1 J-St(S-4943
Plumbing CompanySUNSIxfht Sl P/UN-bind Office Phone 9o4- 261•/O(C Fax% tbt•03fg
Co.Address: 710 14Cj h-LS fr City ./c ckctayi 11... State FL Zip 312pt.
License Holder(Print): n State Certification/Registration# %L MUZ9
Notarized Signature of License Holder
PAT COMMISSION
KINHOFIER
029 Sworn and subscribed before me this (P day of�1- 20 /4
a MY EXPIRES
Decame,E0P0016
eznnes.ottemne�sz,zole Signature ofNotary Public
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