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