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178 Seminole Rd plbg permit j LA'yi'!�S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ��Dii19r PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-PLBG-3048 lob Type: PLUMBING ONLY Description: PLUMBING - 11 FIXTURES Estimated Value: $5,000.00 Issue Date: 1/19/2017 Expiration Date: 7/18/2017 PROPERTY ADDRESS: Address: 178 SEMINOLE RD RE Number: 170594-0000 PROPERTY OWNER: Name: MARTIN, JOHN E Address: 178 SEMINOLE RD ATLANTIC BEACH FL. GENERAL CONTRACTOR INFORMATION: Name: OGRE PLUMBING CONTRACTORS INC ,CFC1428315 Address: 5340 Otter LN Phone: 904-312-8102 FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $77.00 Trade Permit Base Fee $55.00 Total Payments: $136.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDWANCFS AND THE FLORIDA BUILDING CODES mak' PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 �7_FL�3 G _3048 JOBADDRESS: ng S(MrNele kJ PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ S 070 TYPEOFFErmAE QTY TIPEOFFDaURE QTY Bathtub Septic Tank&Pit „ r. Clothes Washer Shower I o e J uJ re 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 RE-PIPE: \ - TYPEOFFTXTURE 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 0 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 six month period or work is suspended or abandoned for sixmonths.I hereby certify that I have read this application and know the same to he 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 the provisions of any Mher state or local law regulation construction or the performance of constriction. Property Owners Name r-lan K ✓✓ CL' Phone Number Plumbing Company "3M f(yw Is tryG ��&a c MY-5 Office Phone ?0`111.74102 Fax J Co.Address:_5346 0(itet' tg8e City Mtddl6 yr State Pt Zip3 6 License Holder(Print): KempkefSc[7roer- -State Certiffcation/Registration# (fic(Y205 Nofari ed Si nature o License Holder � ((�� �--7 My�mMiszioNI FFsia4ssi fore me this 9_day / EXPIRES:lklober a miq rr S atureof Notary Public T eamam�souvwwmur�rto fir,