Loading...
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 drks, , aa,aeamry wan Puatumrwsa.