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580 Timber Bridge Ln plbg permit (2) -S I r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ,ri J'j0' r INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-PLBG-2812 Job Type: PLUMBING ONLY Description: PLUMBING - KITCHEN SINK Estimated Value: $300.00 Issue Date: 12/15/2016 Expiration Date: 6/13/2017 PROPERTY ADDRESS: Address: 580 TIMBER BRIDGE LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: RYAN RAMSEY PLUMBING INC RYAN RAMSEY PLUMBING INC RYAN RAMSEY,CFC1428518 Address: 198 Foxridge RD 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: $66.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 r Ph(904)2447-582(6 Fax(904)247-5845 '�_P �j(- .28 I Z JOB ADDRESS: SOD �yLt �tle Pa"• ,,, L-A-) PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 3©� - TYPE oFFLYTURE QTY TYPEOFFEaVRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Tbree 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 RE-PIPE: TYPEoFFIXTURE QTY TYPE OF FIXTURE 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 Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement it Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads O 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 certify the I have read this application and know the same to be true and correct. All provisions of laws and ordinances govemingthis work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. -L Property Owners Name (1�� I� E C ckel-.& Phone Number Plumbing Company -k4*A lQ .-ozfA ��W,wt b��A SNL OfficePhone 'P4-V9'� act 1 v Co.Address: !R$ fpe t ofo ,f led, City 061IwU Mrf� f1 � State Zip 3.;10 License Holder(Print): w4 AA,wsrt4 State C fication/R istr o # GG'G 1 Y18 S1g Notarized Si nature o License Holder rn@I ClsalrsPEscEs Before me this icoueIsslouefF ezayst 1 �dayo EXPIRE$.October 6,arm "" p,+„p sa,eze rnm wunvacuma.nu. Signature of Notary Public