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354 11th St plbg permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - - � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-PLBG-2176 Job Type: PLUMBING ONLY Description: re-pipe tub, hose bib, 2 lavatories, shower, 2 toilets Estimated Value: Issue Date: 9/28/2016 Expiration Date: 3/27/2017 PROPERTY ADDRESS: Address: 354 11TH ST RE Number. 170080-0000 PROPERTY OWNER: Name: TRUSSELL, GALEN Address: 354 11TH ST 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 $49.00 Trade Permit Base Fee $55.00 Total Payments: $108.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLv-MBrgG PER�z'APPLICATION - CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904) 247-5926 Fax(904)247-5845 Ib-P L BCS- a 1-+to :SOB A.DDPESS: NEW ORFtFpLACEyaNTri-SiALLATION: ProjectVaIae$ TYTEOFFIX 7ZF QIY TYPEOF.FlRR'O - - 927 Bzfhtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drm� p�yzm Slop Sink -- Floor Drain Three Compartment Sink Flow Si uk Toile. Hose Bibs - Urinal — Kitchen Sink - / Vacuum Bre&ers Water Connected Appliances LaundryTray Water Heater OtherFixtures Lavatory -- Wa=Treating System [het RE-PAPE: TYPE OFFDaVRE QTr TYPE OFFATORE DTP Bathtub Septic Tank&Pit T— Clothes Washer Shower Dishwasher Shower Pan — SlopFountain Sick FloorDram Thre Compartment Sink Floor Sink Toilet —7-- Hose Bibs �_ Urmal — Kitchen Sink Vacmrm Breakers LaundryTray Watt Connecred Appliances . . Lavatory Watt Heater Other Fbames - Water Treating System N' HSCELLANEOTJS: Serer Replacement ❑Back Flow Preventer ❑ Crease Iuterceptor(Trap)_gain(B�f°m`S 3 sets ofpia� Lawn Sprno4er System-Number of Heads C Well I " action. SJRWD Well Completion Form. Completed�m otof be submitted to the Bv;l Department for fin inspection Other Pe.mitbecomes+roid if Wk don not commmoe within a sh mouth pmod oc worku suspended oz abandoned fo ka iu?hs Ih hyce.n both tiisa iiwli ib+3 wodc will ye complied�m whetha syem5 pp on rend know the samcto Sc mre and cosrac All psvvsions oflaws aid odinanocs Yos'an1a8 (yen or5tc mofconsencrim n'uee The pecmii do4 noi§iw amho:itym•iolam the ptocision5 of aziY otbea statealomi ffiwxr$datian wos'in P�°�8n Property Owners Name (pp.+� Y�F� ffice Phone phone 9Number Olmbirg Company [fFax _--. Co. address: /6d) N1a tN fjf - _ City T--A` State Li Staff Cerli,,cau -,,,CVsration# T IGIN�tl% � ra� �r�C L4TET � �[ tan snbscnbed before y of Signaure of Ncfay Public