118 Ocean Gate Dr plbg permitCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MART CALL BY 4PM FOR NEXT DAY INSPECriON: 247-5814
308 INFORMATION:
Job ID:
16-PLBG-2202
Job Type:
PLUMBING ONLY
Description:
install new tub, washer, 2 hose bibs, sink, 2 lavatories,
shower, 2 toilets, water heater
Estimated Value:
Issue Date:
9/30/2016
Expiration Date:
3/29/2017
PROPERTY ADDRESS:
Address:
118 OCEAN GATE DR
RE Number:
None
GENE RAL CONTRACTOR INFORMATION:
Name: ADVANTAGE PLUMBING
Gregory K. Gause, CFC1425959
Address: 880 MAYPORT RD CIA GREG GAUSE
oh.... - -
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 FLOMA
BUILDING CODES.
P L L) (Y\ Pia jp—c--)- -, - .,a.,,
Ph(904)247-5826 Fax(904)247-5845
JOB ADDREss:
NEW OR REPLACEMENT INSTALLATION:
TYPEOFFixTuRE
Q7Y
Bathtub
Clothes Washer
Clothes Washer
Dishwasher
Dishwasher
Drinking Fountain
Drinking Fountain
Floor Drain
Floor Drain
Floor Sink
Floor Sink
Hose Bibs
Hose Bibs
Kitchen Sink
Kitchen Sink
Z
Laundry Tray
lavatory
Oth
Other Fixtures i
Other Fixtures
RE-PH'E:
Project Value s
TYPEOFFEUVRE
Septic Tank & Pit
Shower
Shower Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
TYPEOFFErTURE Q7Y
TYPEOFFIXrpRE
Bathtub
Septic Tank & Pa
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
Water Heater
Oth
Other Fixtures i
Water Treating System
CD
1(0-Kacl- aaoa-
PERMIT #
QTY
MISCELLANEOUS:
o Sewer Replacement o Back Flow Preventer o Grease Interceptor (Trap) _ gallons (Require, 3 sets of plana)
Ci Lawn Sprinkler System -Number of Heads o Well *•
"` NRWD Well Completion Form. Completed—form to be submitted to the Building Department for fund inspection.•*
El Other
- - --•- --- - --- ._--_....,.....,......,' —'-'Y wa,' "a—'c"
t application and know the same to be one and wr All provisions -flaws and ordinances governing this work will be complied with whether specified
""M The permit dos not give authority W violtae the provisions pfany other slate or local law regulation cons ruction or the performance of mnstmction.
Property Owners Name &9C%E s- 2*-Gzz Q r Phone Number
PlumbingCompany>9 V4A,E,�6,c A�Jma1,v6 Office Phonee�lJ`1!J,598
Co. Address: City State LL Zip 22
License Holder (Print): Li Stpe,Cmtifit�tion/Registration 9eA4Ae7
Notarized Signature ofLicense Eo/der
Sworn and subscrib "fore me d f 20�
lure of Notary Public
TONI GINOLESPERGEN
MYGOMMISSMAFF924951
�`•` EXPIRES:(ktobar 6, Wig
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