126 Ocean Gate Dr plbg permit �j LSLY7jr1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
CA
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
706INFORMATION:
Job ID: 16-PLBG-2201
Job Type: PLUMBING ONLY
Description: PLUMBING - 11 FIXTURES
Estimated Value:
Issue Date: 9/30/2016
Expiration Date: 3/29/2017
PROPERTY ADDRESS:
Address: 126 OCEAN GATE DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Gregory X.Gause,CFC1425959
Address: 880 MAYPORT RD CIA GREG GAUSE
Phone: -
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: $136.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Ph(904)247-5826 Fax(42i7-5945 (� _PC Q z Zo `
JOB ADDRESS: /'* /JCP }Aq 4Ta PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIX7URE QTY )rPEOFFIXTURE QTY
Bathtub / Septic Tank&Pit
Clothes Washer Z Shower I
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain 'Phree Compartment Sink
Floor Sink Toilet .7
Hose Bibs 3— Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFixruRE QTY TrPEoFFIXTURE QTY
Bathtub Septic Tank&Ph
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 Tmy Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
D Sewer Replacement D Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of phos)
D Lawn Sprinkler System-Number of Heads D Well '*
**SIRWD Well Completion Form. Completed be submitted to the Building Department for fmal inspection.**
D Other
Permit becomes void if work does not commence within a sin mooth period or work is suspended or abandoned for six months.I hereby certify,that I have read
this application and know the same to be true and comxt All provisions of laws and ordinances governing this work will be complied with whether specified
ornot The permit does not give authority an violate the provisions of my other able or local law regulation construction orthe performance of construction.
Property Owners Name ht'hC))E 5- 2*gZ2V — Phone Number
Plumbing Company &V41,'E i(E 410r-nQ1v6 Office Phone/; `7 JS*i5f Fax,?
Co.Address: City 0. R� State Zip 22
License Bolder(Print): 612LI State CetrifitationMegistration#CFCr/!a5%t9
Nomrized Signature of Liteum Holder
Sworn and subscri beforeme �J r of 20
Signature of Notary Public
'°,',' TONIGINOtEaf cRaER
r E%PIRES:Odober 8,2019