725 Atlantic Blvd #1 plbg permit SI
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
TOB INFORMATION:
lob ID: 16-PLBG-2750
Job Type: PLUMBING ONLY
Description: install 33 fixtures for brewery - unit#3
Estimated Value:
Issue Date: 12/9/2016
Expiration Date: 6/7/2017
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 01
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TURNER PLUMBING CO.
CFCO29746
Address: 1903 HENDRICKS AVE QA WORTH B TURNER
Phone: -
FEES:
Plumbing Fixtures $231.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $290.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 I b_PL�1
Ph(904)247-5//826 Fax (904)2(�47-5845 VV
JOB ADDRESS.- 77, J /-I ��T 1r�.-x71 , lj l a ]( (klf f 3 /4-c,aar-
PERMIT# Zz4o
NEW OR REPLACEMENT INSTALLATION: Project Value$ -
TYPE oFFIXTuRE QTY TYPEoFFDrTORE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher _?- Shower Pan
Drinking Fountain Slop Sink
Floor Drain �_ Three Compartment Sink 2
Floor Sink laL Toilet
Hose Bibs Urinal
Kitchen Sink ! Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater /
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFIXTURE QTY TYPE oFFIXTDRE 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 **
**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 sin month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. 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/Aa provisions of any other state or local law mgulation construction or the performance of construction.
Property Owners Name n-#� -' 1'�-rtrt ra.t LLL Phone Number
u
Plumbing Company k�-/�✓to/// �I/"�'-� "A 1-' • OfficePhone �3 -7�� Fax396 -7o r�Co
Co.Address: � `ID3 f+N>.,. JCrr�/�. a 4- � City 'j—
state Zip 32Zz
License Holder(Print): State Certification/Registration CFL 07,9-7Eb
'N' "'Higg older
,I.•K:%_•.M1 J0RAKRJMNSTON
•�• '+ uvcouwssiM#ruo4 Before me this cl dayof 69CQMW 20 l�
15 exw,Rss:asoenst.zDzo a n
, •,tir euw.a iNU NaiWPUYc11NrnMa�r Signature of Notary Public �l6vt�V1LR,.
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