1728 Maritime Oak Dr 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
JOB INFORMATION:
Job ID: 16-PLBG-2734
Job Type: PLUMBING ONLY
Description: PLUMBING - 26 FIXTURES
Estimated Value:
Issue Date: 12/8/2016
Expiration Date: 6/6/2017
PROPERTY ADDRESS:
Address: 1728 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: NELSON PLUMBING CO. INC.
Scott Nelson,CFCO20379
Address: 11624 -1 DAV E DAVIS CREEK RD OA SCOTT GARY
NELSON
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $182.00
Trade Permit Base Fee $55.00
Total Payments: $241.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 / Q
Ph(904)247-5826 Fax(904) 247-5845 I l0- �..UG Z7 34
JOBADDRESS l"12$ YYiflti •tiwl6 0&4c. D2 PERMIT# lk- 51F¢-224f
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FIXTURE QTY TYPE oFF7XTURE QTY
Bathtub Septican
Tk&Pit
Clothes Washer Shower 2
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet c
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances, '
Lavatory rater Heater 2..
Other Fixtures ater Treating System
RE-PIPE: TY
TYPE oFFIXTURE QTYPE oFFIXTURE 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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ lawn Sprinkler System-Number of Heads ❑ Well **
**S/RWD Well Completion Form. Completed form to be submitted to the Building Department for fund inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
this application and know the same to be true and cornea. 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 state or local law regulation construction or the performance of construction.
Property Owners Name U VtmAl of- K o wtez Phone Number
Plumbing Company AIE(„SntJ ILmA;S 4f e T.,i OfficePhone ZGZ• V'B9V Fax
Co. Address: I lox-( DAyff. � Ci tll te Statek Zip ZL$•6
License Holder(Print): - e lfication/Registration# 02037Ci
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