760 Sailfish Dr plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1 S ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
f y
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-2728
Job Type: PLUMBING ONLY
Description: install 13 fixtures
Estimated Value:
Issue Date: 12/7/2016
Expiration Date: 6/5/2017
PROPERTY ADDRESS:
Address: 760 SAILFISH DR
RE Number: 171204-0000
PROPERTY OWNER:
Name: TCI TWO LLC
Address: 9191 Rg Skinner PKWY#501
GENERAL CONTRACTOR INFORMATION:
Name: CRABTREE PLUMBING INC
Jeffrey W.Crabtree,CFC032618
Address: 2351 URBAN RD QA JEFFREY W. CRABTREE
Phone: 904-384-4604
FEES:
Plumbing Fixtures $91.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $150.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION 3
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Firs(904)247-5845
JOB ADDRESS:---',) G 0 S c,-C PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value S
TYPEOFFIXTURE QTY TYPE OF FIXTURE QTY
Bathtub _ Septic Tank&Pit
Clothes Washer 1 Shower J,.,_
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 17-
Hose Bibs ?_ Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 3_ Water Heater _
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFixrURE QTY TYPEOFFIXrURE 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 pleas)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**SIRWD 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 s&month period or work is suspended or abandoned for six months.1 hereby certify that I have reed
this application and know the samor
e to be true and crect. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does Trot give authority to violate the provisions of any other state or local law regulation construction"c performance of construction.
Property Owners Namem T n1 TLrrr-n G G C, Phone Number
Plumbing Company G Ab l 1 , Q e Y LlA('rW A;TC . Office Phone C/o C-3j4'_g6 FFax II 4iii-q/V
Co. Address: 2351 ukton P40A City4&Z8X✓I/1t Statef Zipr3�
License Holder(Print)• �r t e State Certification/Registration# e IFe 63 Lla 12
arure of License Holder
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