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1759 Maritime Oak Dr plbg permit f h%1ryr�n CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 J"69 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-PLBG-2360 Job Type: PLUMBING ONLY Description: 24 Fixtures Estimated Value: Issue Date: 10/19/2016 Expiration Date: 4/17/2017 PROPERTY ADDRESS: Address: 1759 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: DARLEYS PLUMBING INC. ,CFCOS6702 Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY Phone: - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $168.00 Trade Permit Base Fee $55.00 Total Payments: $227.00 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)247-5945 6-f Lfy,-.23 0 JOB ADDRESS: J�7 /I'IAAT-T7rvm•: 0A., Qn PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value S TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY Bathtub 2 Septic Tank&Pit Clothes WasherJ_ Shower s Dishwasher J— Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs 2 Urinal Kitchen Sink 1 Vacuum Breakers Laundry Tray I Water Connected Appliances 2 Lavatory & Water Heater 1 Other Fixtures Water Treating System 1 RE-PIPE: TYPE oFFLxTURE QTY TYPEoFFLxTURE 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 17 Well ** **SIRWD 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 read M application and know the same to be nue 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 N e 5 Phone Number Plumbing Companyk A, �0fficqPhoueqaa Fq Fax q.Z-4IC&:S— Co.Address: lie City State Ft-zip &1 License Holder(Print): State Certification/Registration# (rhS(o-7d� Notarized S' nature of License Holder �w"r': JOANNE MEHL Swom and an sent before n e this 8>N day of Cir'r 20/46 r: Notary PaMic SIAte of Elarida �d commission*GG 021181 Signature of Notary Public i%°�'" MY Comm.EApiMr Aua 29.2020 Bonded mro gh Nasional NMay Ann.