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
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