825 Cavalla Rd plbg permit 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
]OB INFORMATION:
Job ID: 16-PLBG-2167
Job Type: PLUMBING ONLY
Description: install 40-gallon water heater
Estimated Value:
Issue Date: 9/27/2016
Expiration Date: 3/26/2017
PROPERTY ADDRESS:
Address: 825 CAVALLA RD
RE Number: 171681-0000
PROPERTY OWNER:
Name: FASON, BARBARA D
Address: 825 CAVALLA RD
GENERAL CONTRACTOR INFORMATION:
Name: LARRY TEAGUE & SONS PLUMBING
Arnold George Bennett,CFCO21529
Address: 203 OCEANFRONT QA ARNOLD GEORGE BENNETT
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
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
Ph(904)247-5826 Fas(904)247-5845
JOB ADDRESS: 825 CAVALLA R PERMIT H
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPEOFFI=RE QTY 2WEOFFtmm QTY
BaMtub Septic Took&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drionng Fountain Slop Sint
Floor Dmi. Three CompaMrent Sink
Floor Sink Toilet
Hose Bibs Urinal
Kiwhm Sink Varum Breakers
Lwndry Tray Water Connected Appliances
Lavatory Water Heater
Odter FLmutrs Water Treating System
RE-PIPE:
TYPE OF FUTURE QTY TYPEOFFkmU QTY
r Bulhtub Septic Tank&Ph
Clothes Washes Shower
Dishwasher Shcw Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Floor Sink Toilet
Hou Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Cornuted Appliances
Layatory Water Heater ILP 40 GALLON HWH
Other Fishes Wever Treateng System
MISCELLANEOUS:
O Sewer Replacement D Beck FloW Pre smter ❑Grease Interceptor(Trp) gallons(Requires 3 sen of plans)
O LaNen Sprinkler System-Number of Heads ❑ Well `
••S)RWD Well Completion Form.CompletedlFm—to be submitted botSeBOTmg Department for final inspection**
D Other
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amt lbe pamitdo¢rwl pjv<auNonry to violme the prorisimwafany o0asleh or 1ou16w regulation wns4uctiw or NcpcR voce olcansWclion.
Property Owners Name BARBARA FASON Phone Number 904-234-9304
Plumbing Compay LARRY TEAGUE&SONS Office Phone 904270-2289_ymk 904249-8269_
Co.Address:203 OCEANFRONT City NEPTUNE BEACH_StateFL_Zip 3226(i_—
License
2266License Holder(Print):ARNOLD G.BEN/NM7 n Stan,CertificationtRegistration it CFCO21529
N=SinwFiLINUidIsm.m nx'wr womandsubscribedbefo methis. k yof�20J.;G+'r 951991u.,r l= ram ignature of Notary Public
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