Loading...
1756 Atlantic Beach Dr plbg permit CITY OF ATLANTIC BEACH j 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-3536 Job Type: PLUMBING ONLY Description: install 22 fixtures Estimated Value: Issue Date: 3/21/2017 Expiration Date: 9/17/2017 PROPERTY ADDRESS: Address: 1756 ATLANTIC BEACH DR RE Number: None PROPERTY OWNER: Name: TOLL FL VI LIMITED PARTNERSHIP Address: GENERAL CONTRACTOR INFORMATION: Name: DARLEYS PLUMBING INC. ,CFC056702 Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY 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 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 ►�—p L6C�—3�- 3 JoBADDREss: I-7!�L Arra-rT. r1c «I at. PERMfT# NEW OR REPLACEMENT INSTALLATION: Project Value s TYPE oFFixTORE QTY TYPE OFF/XTuRE QTY Bathtub 3 Septic Tank&Pit Clothes Washer f Shower _ I Dishwasher Shower Pan j Drinking Fountain Slop Sink 1 Floor Dram Three Compartment Sink Floor Sink Toilet Hose Bibs 2 Urinal Kitchen Sink Vacuum Breakers Laundry Tray t Water Connected Appliances L Lavatory Water Heater Other Fixtures _� Water Treating System RE-PIPE: TYPE of FIXTURE QTY TYPE oFFLYTURE 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 MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 seta 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 one and correct. All provisions of laws and ordinances gmeming this work will be complied with whether specified or not The permit does not give authority On violate the provisions of any other slow or local law regulation construction or the performance of construction. Property Owners Name IOL., Xxw Phone Number Plumbing Company r*Ac P,Jg!,e, j c OfficePhone i2l-0411Y Fax 7Z7'1y85' Co. Address: q1 77 City JsfA sw U..'% State Fc- Zip 371­61 License Holder(Print): AA.t. L OA,✓�-I State Certification/Registration# Ck OW70t older JGANNE ENL ,,q F e wim public-strh of Florida Swom and subscribed beSefl1is=dyof /r' cN 2000MMs1S ml a GG 0MyComm.EaDirn Au0Signature of Notary Publ 90aaeU mnupa Nalibnal Nonry Asm.