1716 Maritime Oak Dr plbg permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-PLBG-3537
Job Type: PLUMBING ONLY
Description: install 20 fixtures
Estimated Value:
Issue Date: 3/21/2017
Expiration Date: 9/17/2017
PROPERTY ADDRESS:
Address: 1716 MARITIME OAK 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 CIA CARL LESLIE DARLEY
Phone: -
FEES:
Plumbing Fixtures $140.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $199.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE F IVDA
BUILDING CODES
PLUMBING PERMIT APPLICATION DOC
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 '1 - P(_ffq_ 3533
JOB ADDRESS: n044Z-F-XP- oar OK PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FIXTURE QTY TYPEOFFIxTuRE QTY
Bathtub 2- Septic Tank&Pit
Clothes Washer I _ Shower _
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor Drain Tlvce Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System I
RE-PIPE:
TYPEOFF)xTURE QTY TYPEOFFIXTURE 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 Cl Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads — 1:1 well
** ,VRWD 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 he one and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does net give authority to violate the provisions of my other suite or local law regulation consuudion or the perfameance of construction.
Property Owners Name Phone Number
Plumbing Company. 1 P —Ja �. Office Phone 70 -11`91—Fax -701)`8S
Co. Address: ye/ 7 L Z 1 -V-i J4,(Y City UA ' State�C Zip Xz a ->
License Holder(Print): L State Certification/Registration# CFCUSG 70 L
older
KMFubficFSworn
t of FlarMa Swom and subscribed before this T" dayof AW1Ff 20 021781No29,2020 Signature of Notary Public