659 Selva Lakes Cir 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-2109
Job Type: PLUMBING ONLY
Description: re-pipe tub, washer, hose bib, sink, shower, 3 toilets, water
heater, 3 lavatories
Estimated Value:
Issue Date: 9/20/2016
Expiration Date: 3/19/2017
PROPERTY ADDRESS:
Address: 659 SELVA LAKES CIR
RE Number: 172027-5894
PROPERTY OWNER:
Name: BARRESI, JANE
Address: 659 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
,CFC037196
Address: 1601 MAIN ST QA JAMES STEEG
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $84.00
Trade Permit Base Fee $55.00
Total Payments: $143.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r�
PLUMING PFRMJT APPLICATION
` - CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beady PT:32233
Ph(904) 247-5826 Fax(904) 247-5845 b_P�� _.a(o 9
,SOB�.ADR'5:SS:
TW M REPLACENMN T L STALLATION: Proj eet Value s
T:PEOF.FZXTGRE QTY TYPEOF12x tr - - Oly _
Bathtub Septic Tank&Pit .
Clothes Washer Sho'
Dishwasher Shower Pan
D-ialcing Fountain Slop Sink
Floor Drain Three Compartment Sink —
Flow Sink Toilet
Hose Bibs " ' Urine —
Kitchen Sink i Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory WaterHearet
Other Fixtures - Water Treating Sys''�em
RE-PYRE:
TrPE 0FFDffVA9 QTY TYPE OFFA'IZnrF Q�
Bathtub Septic Tank&Pit .
Clothes Washer - Shower -
Dishwasher Shower Pan �-
Drinking Fountain Slop Sink
Floor Dram Three Comparuneat Sink
Floor Sink Toilet -
HoseBibs % Urinal
Kitchen Sink _[_ Vacuum Breakers
Laundry Tray Water Conneo'ted Appliances
Lavatory Wafer Heater
Other Pixnses We=Treating System
MISCELLANEOUS:
Crease Interceptor(Trap).__.3�oas(Req¢ires 3 set,otpix,
G Sewer
Replacement G Back FlowPreveater G
G Lawn Sprinkler System-Number of Heads G Well :: ent for final inspection.
—SJRWD Well Completion Form. Comple fre�be submitted to the Burl Deparim
Other
Permit,becomes void ifwork does not commrnce wdinn aPeriod or wwr is suspended or ab®dosed for socmmrths.I haebY°wry
Ybii work win be WMPIW wth v+Lnher spem5
this application and kaowdfe samem Se tme end canax Atlpcodsans of laws aid Ordinance gn+Tapmg umberea9 ce Ofconsm%cd°'
MioL Tnc pertniL don nM give wghogityto vin:a4 rhe pro�isons of any oma 4>ec or total iaw+egnl#ion eonsnoez`o
Property Owners Name phone Number ..
9 Fax
PIun,-Ibing CoraPanY���a C - V, Of14cc Phone
�6�1 dllnPi7 i� City o State�� Zip 3?�33
Co. Address: GrFCD,3�/9G
Liceuse Holder(print): �/� y`.c.c S Cer7i5caaon/Re�stranon#F—� —/
Ivo ..=�s le older
EXPIRES:Octobe Z) SwaruS snbscribed before
$,g,.,t, eonaesmm w�arvnaKww.wn«:
Sigoahrre of Notary Public