246 S Oceanwalk Dr plbg permit CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
r1 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
TOB INFORMATION:
3ob ID: 16-PLBG-2813
lob Type: PLUMBING ONLY
Description: PLUMBING - 16 FIXTURES
Estimated Value: $4,185.00
Issue Date: 12/15/2016
Expiration Date: 6/13/2017
PROPERTY ADDRESS:
Address: 246 S OCEANWALK DR
RE Number: 169463-0506
PROPERTY OWNER:
Name: GALLANT, RICHARD W
Address: 246 S OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: STYLES SMITH PLUMBING, INC
, CFCO41803
Address: 1537 PENMAN RD SUITE A CIA DARRELL GLEN SMITH
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $112.00
Trade Permit Base Fee $55.00
Total Payments: $171.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 6- PL(>.-Z8 (,3
IOD ADDRESS:?LI ye ()con,,.. I Jak Q,S PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ L4 85-'o.
TYPEOFFixWRE QTY TYPEoFFWvPk 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
Outer Fumes Water Treating System
RE-PIPE: \�
E oFFLUVRE QTY TPPEOFFDavRE QTY
Bathtub Septic Tank&Pit
Clothes Washer ! Shower
Dishwasher _L Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 1
Hose Bibs x Urinal
Kitchen Sink i Vacuum Breakers Z
LA—dry Tray / Water Connected Appliances
Lavatory �_ water Heater /
Other Fnttures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventet D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well '•
«s&MWD well Completion Form.Completed form to be submitted to the Building Department for final inspection"
❑ Other
Pemmitbecomnv void if work does not wmmence within a six month period or work is suspended or abandoned for sec months.I hereby cw*that I have read
this applicatim end know the same to be We and mneat All provisions of laws and ordinances goveming this wmk will be wmplied with whether specified
court. The permit does not give authority to violate the provisions-opf my other side,m local law regulation construction orthe performance of consmmctim
Property Owners Name � lln4ft2 1.2rcj-5nvt Phone Number 5ZI-L(263
Plumbing Company Office
Phone ZU �'y/3 ax
Co. Address:�S ] n vo City 1 State Zip 32-2 S
License Holder(Print): State Certificatiegistration# 8
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