460 Sailfish 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-3460
Job Type: PLUMBING ONLY
Description: re-pipe 12 fixtures
Estimated Value: $1,000.00
Issue Date: 3/10/2017
Expiration Date: 9/6/2017
PROPERTY ADDRESS:
Address: 460 SAILFISH DR
RE Number: 171400-0000
PROPERTY OWNER:
Name: BCS ACQUISITIONS GROUP LLC
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ZELLNER'S PLUMBING AND CONST.
John S.Zellner Jr.,CFC1427375
Address: 11515 GWYNFORD LN QA JOHN ZELLNER
Phone: -
FEES:
Plumbing Fixtures $168.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Work W/O Permit Plumbing $55.00
Total Payments: $282.00
PERMIT IS APPROVED ONLY 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)247-5845
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JOB ADDRESS: `T it lI O*.( 4S l} 'PR"l u PERMIT N
NEW OR REPLACEMENT INSTALLATION: Project Values /0ooq2.-
TYPE of FIXTURE TY TYPE of,FW uRE 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 Tiny Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE ot,FIXTURE QTY TYPE oFFIXTf/RE QTY
Bathtub t Septic Tank&Pit
Clothes Washer 1 Shower I
Dishwasher Shower Pan t
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs 2 Urinal
Kitchen Sink l Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 Water Heater t
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 **
**SIRWD 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 tore 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 sate or local law regulation construction or the performance of construction.
Property Owners Name l 4_s Ata,s,6,v< L t c Phone Number
Plumbing Company zl.,crs 7IKry 4,j Office Phone `/2`'/' /_ 'l Fax
Co. Address: 1�74City TM— State R zip 322//
License Holder(Print): State Certification/Registration#CPC/Y2 J775-
Notarized Si natur older. �T.fl4 Z-J--
urca�arlIFM"NTON Beforemethis )Dtadayof VW(—VN20 V**
EXPIRES tIcb0rr 1r,1020 p p
,{t aamaamm xmw P�abuNnraar Signature of Notary Public l\n-t -