368 7th St plbg permit CITY OF ATLANTIC BEACH
880 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MCHC-3556
Job Type: MECHANICAL GAS PIPING
Description: PLUMBING - GAS WATER HEATER
Estimated Value:
Issue Date: 3/22/2017
Expiration Date: 9/18/2017
PROPERTY ADDRESS:
Address: 368 7TH ST
RE Number: 169903-0000
PROPERTY OWNER:
Name: SEAY, MASON & IVONA
Address:
GENERAL CONTRACTOR INFORMATION:MTERNATIONAL CORP.
Name:
Lewis D.Spradlin,Jr., 19471
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone:904-724-9771
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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5 '. ATLANTIC BEACH
PERMIT RECEIPT
6
March 22, 2017
PERMIT DESCRIPTION: PLUMBING-GAS WATER HEATER
PERMIT NUMBER: 17-MCHG-3556
ADDRESS: 368 7TH ST
OWNER:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals: $69.00
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-51826 Fax(904)247-5845 17- MC H G -3S S
JOB ADDRESS: fpU Iftl— s I"r P&RMrr N
NEW OR REPLACEMENT INSTALLATION: Project'ValueS 1350 OO
TYPE OF FIXTURE QTY 7YPEOFFIX7t/RE 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
RE-PIPE:
TYPE oFMrURE QTY TYPEoFFIXrr/RE 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 Futures 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 **
**S1RWD Well Completion Form. Completed be submitted to tiding Department for final inspection.**
tither Q,hctnaM8 el - +rt c. 4 n naS 4.)a Fir he GFtec
Paean becomes void Ifwork does not commence within a six moth period or work is suspended or abandoned for six montlu.I hereby eKT*that I have read
Ws aPPHOmOn and know the same m be true and correct. All provisions oflava and ordinances govemingthis work will be compiled with whalher specified
roam The permit don not give authority to violate the previsions of any other state or local law regulation mmuctlon or the performance of construction.
Property OwnersNarne Mason SCaU Phone Number-110 - 91 (o2-
Plumbing Company At 11(K carp 6broi. {de) Os SeX &Pf5ce Phone '741-TT 11 Fax 1 Z I-n Gn
co.Address: -7-7o9 A irin h-ye, city lar SonviIIe state zip '22211
License Holder(Print): ,aa rrl6Ld I State Certification/Registration 1
Notarized Signature of License Holder
Swom and subscribed before me this day of 20-Zl
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My U37110 Signature of Notary Public o.,l�// � air. .. "D ��
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