730 PARADISE LN - PLUMBING \ , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
jATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-PLBG-3017
Job Type: PLUMBING ONLY
Description: PLUMBING - 23 FIXTURES
Estimated Value:
Issue Date: 1/18/2017
Expiration Date: 7/17/2017
PROPERTY ADDRESS:
Address: 730 PARADISE LN
RE Number: 172376-0240
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 1881 BEACH AVE RALPH BUCK DAVIS
GENERAL CONTRACTOR INFORMATION:
Name: B & G PLUMBING CO., INC.
Gene Christian Rover, CFCO22593
Address: 2232 CORPORATE SQUARE BLVD
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $161.00
Trade Permit Base Fee $55.00
Total Payments: $220.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01-17-17;01 : 55PM;From:B_And_G_PIumbing To:9042475845 ;9042233750 # 1/ 1
PLTJ1V ING PERMIT APPLICATION JJ a h n 5t0n (( con b.u S
CITY OF ATLANTIC BEACH 9 i n@ CO a 6• u S
800 Seminole Rd Atlantic Beach,FL 32233 4j
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Ph(904)247-5826 Fax(904) 247-5845 17 r' �..- C-1 -3c) ( 7
1013 ADDRESS; 3 D 'y lei d Ise 1—h PERMIT
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VEW OR REPLACEMENT INSTALLATION: Project Value$ -
TYPE ofX'ararkz OTl' TYPE OF FIXTURE OTY
Bathtub 3 Septic:Tank&Pit 0
Clothes Washer _____,_, Shown.. I
Dishwasher _I Shows.Pao o '
Drinking Fountain 0 Slop!;ink —0___
Floor Drain _I_ Three Compartment Sink --
Floor Sink •Sj Toilee
Hoso Bibs 2. Urinal p_
Kitchen Sink _l___ Vacuum Breakers
Laundry Tray Water Connected Appliances I
Lavatory S `, Water Heater _T____Other Fu /
Fut-tures ' Water Treating System
RE-PIPE: % 2177)
TYPE 0,1%FIXTURE OrY - Tl'1'6'ofi'FxruRl•: Ory
Bathtub Septi,Tank&Pit
Clothes Washer Shover
,.Dishwasher Shower Pan
Drinking FountainSlop Sink ..
Floor Drain Throe Compartment Sink
Floor Sink Toilet
Idose Bibs Urint1
Kitchen Sink Vacuum Breakers
Laundry Tray Water Cootctccted Appliances
Lavatory • Water Heater
Other Fixtures , - Water Treating System
MISCELLANEOUS:
C Sewer Replacement 0 Back Flow Prcventer 0 Grease Interceptor(Trap) gallons(Rccduires 3 secs of plans,
0 Lawn Sprinkler System-Number of Heads ❑ Well {'tl'
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.'"
p Other
Permit becomes void if work does not'commence within a six month period or work is syspcalied or abandoned for six months.t hereby certify that T have TM
this application cuid know the arms to be fare and correct, All provisions of laws and ordirances governing this work will be complied with whether specified
or not. The permit docs nut give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name S'rrin1 fiei4 13ui 14tpC WC.. Phone Number 404-to 20-0245
Plumbing Company 4 C� NorYillil Co Office Phone q 04'-113-35 65.Fax qo`t-123-3351
Co. Address: 2132 L//0ppoRaj-e�y G'i,UgR .re) City TTaelcconville State FCL- ZipSa11(0
License Holder'(Print): Cie he C ' I`'Ove R _Al.tate Co• 'f 'on/Registration# Cf O2 25
Notarized Signature of License holder '4'-(CI b1.,��. fit ►o�.lC>�-lri172.:0 '�" �.
Sworn and subscribed before •i; 7-- day of fir'. i 2017
Siguatw e of Notary Public �./ 4 ) _ J'/. .,.
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M"i,' Notary Public•Stata Off�ork1a
�tt� . .= Commission M FF 047330
.7,0.My Comm.Expires Mar 40,2020
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Bone IWeer Ntlioni N0l ry Assn.