1637 Beach Ave plbg permit (2) YSI
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: 17-PLBG-3082
Job Type: PLUMBING ONLY
Description: HOUSE - install 20 fixtures
Estimated Value: $13,685.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 1637 BEACH AVE
RE Number: 169652-0000
PROPERTY OWNER:
Name: Eckstein, Joseph P
Address:
GENERAL CONTRACTOR INFORMATION:
Name: STYLES SMITH PLUMBING, INC
,CFC041803
Address: 1537 PENMAN RD SUITE A QA DARRELL GLEN SMITH
Phone: -
FEES:
Plumbing Fixtures $140.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $199.00
PERMIT IS APPROVED ONIA IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5945
fOB ADDRESS: 1 (937 GeFck h✓fi C_v) l PEewr#
dEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OFFhTVRE QTY TYPE oFFhTvRE QTY
Bathtub i Septic Tank&Pit
Clothes Washer Shower
Dishwasher f Shower Pan z _
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray _L_ Water Connected Appliances
Lavatory Water Heater _J
Fixtures _
Other Fies Water Treating System
RE-PIPE:
7WEOFFlXTf7RE QTY TYPEOFFDrruRE OTY
Bathtub I Septic Tank&Pit
Clothes Washer Z Shower _A
Dishwasher Showa Pan
Drinking Fountain Slop Sink
Floor Drain Tbree Compartment Sink
Floor Sink Toilet
Hose Bilis Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected
on eta Appliances _J—
Other FWaterbotums Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Pteventer ❑Grease Interceptor(Imp) gallons(Require;3 sets of plana)
❑ Lawn Sprinkler System-Number of Heads ❑ Well "
**S/RWD Well Completion Form. Completed form to be submitted to the Building Department for Seal inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for sec months[herebyeathydatlIbavemad
thisappliea6mmdknowthesametobetr andwnect All provisions of laws and ordinaoces gmcraing thiswork will be complied with whether specified
ornot The permit does not give authority to violate the provisions of any other state or local law regulation ronstcucdoa orthepa{armmce ofconswetioa
Property Owners Name 30C f_(,k 4f e i A Phone Number (155– 14 111
Plumbing Company iC)jyle$ $nith 1�1 �rn�7r�t] Office Phone r141 - 11131 Fax
Co.Address: ).5 7 )'CAMs, rA. Cityrl .X State ELZip 3za5o
License Holder(Print): I e 5 5,,,1 ii i State Certificatio,/Registration#
Notarized Siwrartr . o ' eao_Zylder
OA
ElU
�uiss�oan c wzeu Swom and su�fore me this c da of an 20WPES:Ocmar il,7.dmmaa�vr�.w=w..�.ana Signature of Notary Public