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1710 Maritime Oak Dr plbg permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 70B INFORMATION: Job ID: 16-PLBG-2409 Job Type: PLUMBING ONLY Description: install 22 new fixtures Estimated Value: Issue Date: 10/26/2016 Expiration Date: 4/24/2017 PROPERTY ADDRESS: Address: 1710 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: DARLEYS PLUMBING INC. ,CFC056702 Address: 4472 PHILLIPS HWY OA CARL LESLIE DARLEY Phone: - FEES: Plumbing Fixtures $154.00 State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $213.00 PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORHDA BUILDING CODES PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 Ito_PLO-1— JOB ADDRESS: 1-71V 1044-z—,Z r: oar At PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oFFi=RE QTY TYPE oFFixTuRE QTY Bathtub '3 Septic Tank&Pit Clothes Washer r Shower Dishwasher _J_ 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 J Other Fixtures Water Treating System RE-PIPE: TYPE oFFfxTURE QTY TYPE OFF)xmRE 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 ❑ Well •* **SIRWD Well Completion Form. Completed fort 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 momhs.I hereby certify that I have read this application and know the scone to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified or not The pemdt does not give authority to violate the provisions of any other state or local law regulation conswcdon or the performance ofwnsnuction. Property Owners Name k p %, s Phone Number Plumbing Company 1 Office Phone-4a� )tuft,--( Co.Address: � L ` City�State_r-t_Zip 3aaa License Holder(Print): State Certification/Registration# CFCL (tea Nptqrized S' nature oLicense Holder {/} Vualic JOANNESlate MEHLof Swoand subscribed be me is 20" day of OCTo.7 f� 20 /�, Notary Flarga Sworn.Conxniubn♦GG 02 nB1 gre Signature of Notary Public S,?. a My Comm.ErAuq 29.2020 Nonaealkouga INnann Nday AMn.