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1494 LINKSIDE DR - PLUMBING - r\J\] ' ''" \S\ CITY OF ATLANTIC BEACH . J 800 SEMINOLE ROAD J = 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-3164 Job Type: PLUMBING ONLY Description: PLUMBING - SEWER REPLACEMENT Estimated Value: Issue Date: 2/2/2017 Expiration Date: 8/1/2017 PROPERTY ADDRESS: Address: 1494 LINKSIDE DR RE Number: 172374-6380 PROPERTY OWNER: Name: KNIGHT, GREGORY F & MICHELLE, * Address: 1494 LINKSIDE DR GENERAL CONTRACTOR INFORMATION: Name: MR ROOTER PLUMBING , CFC 1429533 Address: 29 Enterprise DR Phone: 386-439-3333 FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $7.00 Trade Permit Base Fee $55.00 Total Payments: $66.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb. 1, 2017 3:40PM No. 0069 P. 2 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax (904)247-5845• ��. -3(��- JOB ADDRESS: LtAe. driv., � �� �C. b , TW PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE • 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 RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink FIoor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: yf Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of I-leads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other iiimminomio Permit becomes void if work does not commence within a six 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 the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name \\8 Grr°QV C Phone Number -1,4Q 74405 Plumbing Cornpanyc. 9,c60.1 \ Office Phone:Up4X 3333 Fax 3Z 244" (013'2 Co.Address: 5ck c 4.x-R1. -r Ar City tk.VArtsk\ Stater Zip License Holder(Print):3itlrr2. .ivr :\rI State Certification/Registration#C. CILIVI633 Notarized Signature of License.Holder Sworn and s bscribed before me hl \S4 da of 'c�_AD _2011 Signature of Notary Public •Y.' '. CHRIS f iNA WHTTCINi3 4;r I MY COMMISSION#FF985912 •4;,. EXPIRES Apf1128,2020