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467 Selva Lakes Cir plbg permit 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 ]OB INFORMATION: Job ID: 17-PLBG-3180 Job Type: PLUMBING ONLY Description: re-pipe 17 fixtures Estimated Value: $5,719.89 Issue Dace: 2/6/2017 Expiration Date: 8/5/2017 PROPERTY ADDRESS: Address: 467 SELVA LAKES CIR RE Number: 172027-5022 PROPERTY OWNER: Name: GARCIA, GEORGE Address: 467 SELVA LAKES CIR GENERAL CONTRACTOR INFORMATION: Name: EARY PLUMBING Benjamin Paul Eery,CFC 1428812 Address: 1870 Swiss Oaks St ST Phone: 904-460-3438 FEES: Plumbing Fixtures $119.00 State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $178.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDPVANCFS AND THE FLORIDA BUILDING CODES PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 ?n3� JoB ADDRESS: �f, 7 fc fuo G a k r r A H,tik (' PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TJ71, d2 TYPE OFFi=AE QTY TYPE OFFEUVRE 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 OFFIXTORE QTY TYPEOFFDXWRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher �_ Shower Pan Drinking Fountain Slop Sink Floor Thain Three Compartment Sink Floor Sink Toilet Hose Bibs 2 Urinal Kitchen Sink �_ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory —�— Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ 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 six months.I hereby certify that I have read this application and know the same to be tine 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 my other state or local law regulation constmction or the performance of construction. Property Owners Name7 F(f/'Q C �9/tiy-z-I� Phone Number v Plumbing Company �0a�o OfficePhone Co.Address: W21 LiSSeAK 1d-reed' city AT644.5 State, zip72;?J51 License Holder (Print): Ly ,`n 0.d State Certification/Registration# 9(KZ 02 / F . .. 'l n tF ,/�, t axco emasamw 27,20 [ICY tr.l afore methis day of Lblkpµ" (� 20 1� Signature of Notary Public \a.