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142 Ocean Gate Dr plbg permit .ti r CITY OF ATLANTIC BEACH ;) 800 SEMINOLE ROAD j 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-3627 Job Type: PLUMBING ONLY Description: install 11 fixtures Estimated Value: Issue Date: 3/30/2017 Expiration Date: 9/26/2017 PROPERTY ADDRESS: Address: 142 OCEAN GATE DR RE Number: None PROPERTY OWNER: Name: HABITAT FOR HUMANITY OF JB INC Address: 1671 FRANCIS AVEL GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE PLUMBING Gregory K. Gause,CFC1425959 Address: 880 MAYPORT RD QA GREG GAUSE Phone: - FEES: Plumbing Fixtures $77.00 State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $136.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WILD ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH llJ/ 800 Seminole Rd Atlantic Beach, FL 32233 ' !/,��j rte, Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 49 (/SO A/P PERwr# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oFFLYTuRE QTY TYPEoFFIXruRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Dram Tbree Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink I Vacuum Breakers LaundryTiny Water Connected Appliances Lavaty Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OFF/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: D Sewer Replacement D Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads D Well ** **S/RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** D 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 we and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give outh''ori//ty to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name�e4a I A Phone Number Plumbing Company Office Office Phone aYT9&yE Fax.2 Co.Address: Er5o A J A R City ��. 13c�y State a Zip. a33 License Holder(Print): C U State Certification/Registration#60f- Notari a older9� JENNIFERJOHNSTON ', _ day Of MrxL� 20 l� urcooulssloH*cc arses Before me this ',.;,IIC•'+ e00%dnw HPun Ps^uo'""""n Signature of Notary Public