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2279 Seminole Rd #7 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 JOBINFORMATION: Job ID: 16-PLBG-2511 Job Type: PLUMBING ONLY Description: PLUMBING -2 FIXTURES Estimated Value: Issue Date: 11/8/2016 Expiration Date: 5/7/2017 PROPERTY ADDRESS: Address: 2279 SEMINOLE RD UNIT 007 RE Number: 168345-0100 GENERAL CONTRACTOR INFORMATION: Name: C W WOOD PLUMBING ,CFC057097 Address: 1328 ROMNEY ST QA WALLACE SCOTT WOOD Phone: - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $14.00 Trade Permit Base Fee $55.00 Total Payments: $73.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORNA BUILDING CODES PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(9041)247-5845 JOB ADDRESS:_ 2- Z 79 Sem`qD�e �rY '7 PERMIT#/6'J?A4 ( �30S NEW OR REPLACEMENT INSTALLATION: Project Value s TYPE oFFIXTURE QTY TYPE oFFLYTURE Qty Bathtub — Septic Tank&Pit Clothes WasherShower Dishwasher -7— Shower Pan Drinking Fountain Slop Sink Floor Sink Si Floor Sink Three Compartment Sink Toilet Hose Bibs Urinal — Kitchen Sink / Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater — Other Fixtures Water Treating System RE-PIPE: TYPE oFFIXTURE QTY TYPEoFFIXTURE QTY Bathtub — Septic Tank&Pit Clothes WasherShower Dishwasher Shower Pan Drinking Fountain Slop Sink _ Floor Drain Floor Sink Tbree Compartment Sink Hose Bibs Toilet Urinal Laundry Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: D Sewer Replacement D Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans) D Lawn Sprinkler System-Number of Heads D Wel) ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** D Other Permit becomes void if work does not commence within a sin month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority t folate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Namei7dG�SD$,7 Phone Number 7V° - G Plumbing Company Gr- 60, C.7ea0 ///OM biLj Office Phone ® IF�a/x Co.Address: 1376 60/r'iM� � t City -W Statel - Zi LLQ License Holder(Print): W. .5�0f)- WQa Stat�ficatio egistration# Dfi 7!)97 Notarize Holder TONI Grim a J.° MY COMMISSIGN CFF924951 201 EXPIRES ectaber 6,201 Before me tI115 _day �' � 6aMWTnrvwunPotwvummn �="' Signature of Notary Public