1680 Maritime Oak Dr 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
JOB INFORMATION:
Job ID: 17-PLBG-3183
Job Type: PLUMBING ONLY
Description: install 22 fixtures
Esdmated Value:
Issue Date: 2/6/2017
Expiration Date: 8/5/2017
PROPERTY ADDRESS:
Address: 1680 MARITIME OAK DR
RE Number: None
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
GENERAL CONTRACTOR INFORMATION:
Name: NELSON PLUMBING CO. INC.
Scott Nelson,CFCO20379
Address: 11624 -1 DAVE DAVIS CREEK RD QA SCOTT GARY
NELSON
Phone: - -
FEES:
Plumbing Fixtures $154.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $213.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C./
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Soo Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRES4: tGBO rA*iQ-rivAE Ofrk, Dw PERMTT# 5Fe-Z64S
NEWORREPLACEMENTINSTALLATION: Project Value S
TPPEOFFDavRE QTY TrPEOFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower —2
Dishwasher Shower Pan
DrinkingFloor DramFotmtam SIT OWMamu.-t Side
Floor Sink Toilet
Hose Bft �� Urinal
Kitchen Side �_ Vawlrm Breakers
Landry Tray Water Connected ffi AppliancesLavatory Water Heai
O g'barm Water Treating System
RE-PIPE:
TYPE OFFaTuRE QTY TIPEOFFIXTORE err
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shbwer Pan
Drinking Fountain Slop Sink
Floor Dram Twee Compartment Sink
Floor Sink Toilet
Hose Bros Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Come ted Appliances
Water Heater
Ot N'ttaes Waterer Treating System
MISCELLANEOUS:
❑ Sewer Replacement O Back Flow Preventer o Grease Interceptor(Trap)_Simons(Btgtraes 3 sem of Pla
o Lawn Sprinkle'System-Number of heads ❑ Well `•
*�
VR WD Well Completion Form.Completed form to be submitted to the—`IBm t�mg Department for final inspection
o other
Permit becomes void 1workd=not con whhin a six mm*paiod w work is suspended m abandoned for s&moans.I hereby catKy marl have
thn apptiw¢m and Imowtbc same m beu w aademteG. All pmvisioos of laws and m h==govamaadds Work will be complied whh Whether spea
anon Ibe pemut des not give aodwntym violate the pmvia;'w'lIs Of MY
other starca lows law regdatoo wnWoaauo m the pafotmaom ofcoostwdc
property owners Name [ i j1:-79'i DE ri o N+E S Phone Number
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eo.Address: I tk-1 UL% p?l4 t i StateJ�zip L10
License Holder(Print): o CertificationMegistratioa# 0 29329
e Holder r
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, t Signature of Notary Public A n Y