122 Ocean Gate Dr plbg permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
'T�Oi;I J'r
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
Job ID: 16-PLBG-2203
Job Type: PLUMBING ONLY
Description: PLUMBING - 11 FIXTURES
Estimated Value:
Issue Date: 9/30/2016
Expiration Date: 3/29/2017
PROPERTY ADDRESS:
Address: 122 OCEAN GATE DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Address: P O BOX 49225
Phone: 904-247-9848
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $77.00
Trade Permit Base Fee $55.00
Total Payments: $136.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Ph(904)247-5826 Fax(904) 47-5945
JOB ADDRESS:_/ 2Z-- DCPl,,,Z�4 1[' PERMr#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFLauRE QTY TYPEOFF7XTURE Q77
Bathtub l Septic Tank&Pit
Clothes Washer = Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain
Floor Sink Three Compartment Sink
Toilet
Hose Bibs �- Urinal
Kitchen Sink = Vacuum Breakers _
Laundry Tray Water Connected Appliances
OthLaver Mures Water Heater
Water Treating System
RE-PIPE:
TYPEOFFDrTURE QTY TYPE oFFDrmRE QTY
Bathtub Septic Tank&Pit
Clothes Washer ShowerDishwasher 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
OtherLavatory Water Heater
[hFFixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Require,3 seta of phos)
❑ Lawn Sprinkler System-Number of Heads ❑ Well •*
**S1RWD Well Completion Form.Completed-dorm 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.l herehy certify Net I have read
this application end know the same to be true and correct. !ill provisions of Taws and ordinances governing Nis work will be complied with whether specified
or not The permit does net give authority to violate the provisions efmy other suet,or local law regulation construction or the performance of construction.
Property Owners Name 2�,YM e S- 4 ?,ezTr Phone Number
Pltmmbin9CompanY ,YhV4kEf).4E WYri)Q1N6 OfficePhone,,I)J Cj,69 5� Faxon )- /
Co.Address: City B,,l- StateL Zip 22
License Holder(Print): U S Certifitation/Registration#Ck/AP
Notarized Signature of License Holder
Sworn and subscribed fore me - 20
Signature of Notary Public
TONIGINDIESPETIGEa
a EXPIPE50ctober 8,2019
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