Loading...
2233 Seminole Rd #3 plbg permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 9 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-PLBG-2204 Job Type: PLUMBING ONLY Description: PLUMBING - 2 FIXTURES Estimated Value: Issue Date: 9!30/2016 Expiration Date: 3/29/2017 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD UNIT 003 RE Number: 169519-0106 PROPERTY OWNER: Name: GEBHARDT, KURT Address: 2233 SEMINOLE RD APT 3 GENERAL CONTRACTOR INFORMATION: Name: M &A PLUMBING INC Phillip O. Dennis,CFC046207 Address: 1186 PECAN COVE KENNETH BRENNAN Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $14.00 Trade Permit Base Fee $55.00 Total Payments: $73.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826// Fax(904)247-5845 7 (p 'P LE G—ZZ0 4 JOB ADDRESS: ci�Z33 J;zjth o/z "o°K! U� l PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OFF/XTURE 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 TrayWater Connected Appliances Lavatory �— Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE of FIXTURE QrY TYPE OFFLYTURE 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 **SJRWD 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 that I have mad this application and know the same to be true 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 k V "`CL4 _Phone Number Plumbing Company Office Phone 07 J• Fax Co.Address: 1Y3' � Y� City Z_ _State&�Zip License Holder(Print): State Certification/Registration# h O O Notarized Signature o older Toa�s �su Before me[his�y f 20 9r� ao�aeernry w�.,'r�an°°"""" Signatlre of Notary Public