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
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