1726 Atlantic Beach Dr plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
N� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
f �
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-2690
Job Type: PLUMBING ONLY
Description: install 24 fixtures
Estimated value:
Issue Date: 12/1/2016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 1726 ATLANTIC BEACH DR
RE Number: None
GENE RAL CONTRACTOR INFORMATION:
Name: DARLEYS PLUMBING INC.
,CFC056702
Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY
Phone: -
FEES:
Plumbing Fixtures $168.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $227.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION L/
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph 1(904)247-5826 Fax(904)247-5845 tb_,PLh 6 _a b�1Q
JOB ADDRESS: 1-7 2(1, A �-c 3'P^ µ O^ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OFFnauRE QTY TYPEOFFbrru E QTY
Bathtub 3 Septic Tank&Pit _
Clothes Washer I Shower �-
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet �—
Hose Bibs Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances �–
Lavatory Water Heater �—
Other Fixtures Water Treating System I
RE-PIPE:
TYPEOFFLu vRE QTY TYPE oFFTXTURE 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 Futures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement Li Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Sprinkler System-Number of Heads ❑ Well **
**SlRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
i7 Other
Permit becomes void if work docs oast commerce,within a six month period in work is suspended or abandoned for six months.I hereby certify that I have reed
this application and know the same to be we 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 my other dace or local law regulation consuuction or the performance of construction.
Property Owners Name �o�� 7�.� Phone Number
Plumbmg Company OM Phone�a'� )� !-,l Fax B
Co.Address: City 1CFny�State --Zip
License Holder(Print): State Cettification/Regishation# orro o7g,;w
a dd 1 stare of License Holder
y;;;:.••.,, JOANNE EHL 0 rF1 �e"•%•� d�'A 20 14
r°; Natary DWIk.State DI fbriaa Sworn and subscribed before me day of
Commission*GG 021781
e `M Signature of Notary Public
ts, >' y Comm.Expires Aug29,2020
Bonsee lArouDh Neural Nolary All,