329 Ocean Blvd 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 NE)Cr DAY INSPECTION: 247-5814
30BINFORMATION:
Job 10: 16-PLBG-2559
Job Type: PLUMBING ONLY
Description: PLUMBING - 18 FIXTURES
Estimated Value:
Issue Date: 11/14/2016
Expiration Date: 5/13/2017
PROPERTY ADDRESS:
Address: 329 OCEAN BLVD
RE Number: LOC ID-0000
GENERAL CONTRACTOR INFORMATION:
Name: TROY TRAWICK PLUMBING CO, INC
,CFC1426097
Address: 6228 LOTTIE ST QA JOHN TROY TRAWICK
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $126.00
Trade Permit Base Fee $55.00
Total Payments: $185.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH - ` S�
800 Seminole Rd Atlantic Beach, FL 32233 'tel
Ph(904)247 4411,X-5826 Fax(904)247-5844411,X—
JOB ADDRESS: .3 Z-1 c) C ey/,7 13
1 V-W PERMIT# a Z O
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE QTY TYPE oFFIXTORE 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 Z Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory = Water Heater
Other Fixtures Water Treating System
RE-PIPE: 0
TYPE oFFixyuRE QTY TYPE oFFixTDRE 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 Breakersy
Laundry Tray Water Connected Appliances
Lavatory "L 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
**SJRWD 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 cerfify that I have read
this application and know the same to be true 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 slate or local law regulation construction or the performance of construction.
Property Owners Name Toe-L R a(dS Phone Number
Plumbing Company T-Ro y.7RA4 4214-�PWM 6rtie Co, Office Phone Fax
Co.Address: 1 y7o aC4fa Ad A:7r�, City StatefZip 3L2ff6
License Holder(Print): MA,,, % ? �._State Certifrcation/Registration# CFL I N2.6 -q 7
Notarized Signature o Lice alder .�
6toa'9 ragolc0&3tlWX3
15�628ij O1:01�51WW00 AW �•[
tlsntmes3lswu u+ot .'� Signature of Notary Public