1371 Linkside Dr plbg permit mss ,, CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
j -- - ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
0j,19
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-PLBG-2795
Job Type: PLUMBING ONLY
Description: PLUMBING - ONE WATER HEATER
Estimated Value:
Issue Date: 12/21/2016
Expiration Date: 6/19/2017
PROPERTY ADDRESS:
Address: 1371 LINKSIDE DR
RE Number: 172374-5355
PROPERTY OWNER:
Name: ARMSTRONG, DANNY W & PATRICIA,
Address: 87 NICOLE LN
GENERAL CONTRACTOR INFORMATION:
Name: AZ REMODELING & PLUMBING INC
Alexander Zadov,CFC1426642
Address: 10115 ISLE WYND CRT BOYNTON BEACH, FL 33437
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY EN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORMA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1 -P L (�)(Sl - 2-7 9.5
JOB ADDRESS: 1371 Unkside Dr,Atlantic Beach, FL 32233, USA PERMIT#
NEW OR REPL kCEMENT INSTALLATION: Project Value S 250.00
T)'PE t FFIxn1KE QTY TYPE OF FwiviYE QTY
Balhtu Septic rank& Ph
Clothe Washer Shower �.,.—
Dislovi slier Shower Pan ....�
Drink' -.Fountain Slop Sink
Floor I rain Thrce Compartment Sink
Floor ink Toilet
Hose eibs __-___ Urinal ___.._..
Kitchei Sink vacuum Breakers
Laundi e Tray water Connected Appliances
Laval y water Heater
Other I ixtures __ water creating System
RF-PIPE:
T)'PF ,'FIXTURE Qrr TYPE OF FI\TUR ' QTY
Badma J,_ Septic Tank&Pit
Clothe Wasber Shower
Dishes sher Shower Pan
Driniti LFournain Slop Sink
Floor I rain 'Three Compartment Sink _,,,•^
Floor ink Toilet
Hose I ibs, _., Urinal _—
Kitche 1 Sink -_ vacuum Breakers
Latmd yTray Water Connected Appliances _�..
Lava4 Ell Water Heater
Other ;vomas watm Treating System
MISCELLA OUS:
SewtT Replace nent f..Back Flow Preventer t�- Grease Interceptor('Trap) ,•.,,,,,,...,.__gallons(Requires 3 Ws of plana
Li%vnSprinkl rSystcnm-Nlmrberofllcads r Well "r
r+.CIRHID Well ibmple ion Farm.Completed!FOtm 10 be submitted to the Building Department for final inspection."
r Other —'---------.._._....-- ----.....__..
l•nnim besot-.$vnW i at"k does nm wmneuce within a six:mmh perird M murk in euq+plJad or abandon vl ti"sh rrwnlM1x.l hvrciw mnifY ant I batt r�wl
this ulaJicnli:m snAk wGw swlxtn tow uue and nurcce All Prarisinnsnflaosad nniininco gn'emingthinwork will be eontplicil with x hdwrslweiIL
nrnn:. I'be prrmil Jo uM.give aulbority lu cirhae:M1e pro.hionr ol'wp:utixt84�u or laud kne mpaJadd,:-onslnidinn nnla•twrlwMm¢'e el'wnalrucnmi.
Property Owners Name Pat Armstrong Phone Number 904-234-1064
Plumbing Comp ny AZ REMODELING AND PLUMBING INGofiice Phone 561-305-7466 Fax:
Co.Address: 30 Cham ion Blvd City Boca Raton ___State�F Zip 330
License Holder Print): ALEXANDER O State Certification/Registration# CFC1426_B42 _
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Cammiselon N GG 011770)
M - - Sig of Notary Fublic_ . _its.- ur Comm.f.p:ee Jun+n rn _
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CITY OF ATLANTIC BEACH
B10 SEM HOLE RD
ATLANTIC BEAC,FL 32233
12/21/2016 0022:10
CREDIT CARD
VISA SATE
Card s X1363
SEQ M: I
a*y
BM p: 266
INVOICE I
Avoyal Code; 132123
Wd
Mode:
Tax Nrwxnt 0*10
10.00
Card Co*: M
SALEAMOUNT $66,00
CWTOMER copy
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (9.004) 247-5R26
Cashier Id: atlbcld\atlbbja
Receipt Date: 12/21/2016 0:22:55 AM
Receipt Number: OS-72022
Job 10: IG-P BG-2795 - PLUMBING - ONE WATER
HEATER POBPR - State PLMG DBPR Surcharge
$2.00
Joh ID: 16-PLBG-2795 - PLUMBING - ONE WATER
HEATER PDCA - State Pi OCA Surcharge 5
2.00
Joh 10: 16-PLBG-2795 - PLUMBING - ONE WATER
HEATER PL1 - Plumbing Fixtures $7.00
Job ID: 16-PLBG-2795 - PLUMBING - Off WATER
HEATER TP - Trade Permit Base Fee $55.00
Amount Due: $66.00
Tender Information: Cash $66.00
Tender Type: CC
Tender Amount: $66.00
Change Due: $0.00