154 Ocean Gate Dr plbg permit ?tl
CITY OF ATLANTIC BEACH
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-3626
Job Type: PLUMBING ONLY
Description: install 11 fixtures
Estimated Value:
Issue Date: 3/30/2017
Expiration Date: 9/26/2017
PROPERTY ADDRESS:
Address: 154 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: $136.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION 't
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
11- P�QU -3(�ato
Jos ADDRESS: � (-D c�aqs z! PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFIXTURE QTY TYPEOFFIXTURE QTY
Bathtub 1 Septic Tank&Pit
Clothes Washer T Shower t
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Sink
Floor Drain Three Compartment Sink Hose Bibs Toilet
�_ Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater T
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
DishwasherShower Pan
Drinking Fountain Slop Sink _—
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Sink Vacuum Breakers
LavatoryvatO7 —
LaundryTray Water Connected Appliances
Water Heater
Other Fixtures 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 •*
**SlRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Pana t beconics otd if work does not commence within a six month penal or work is suspended or abandoned for sox months T hereby certify that 1 have read
this application and know the same to be me and correct. /ill provisions oflaws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of my other state or local law regulation consnuction or the performance of aon araction.
Property Owners Name f�/}�i ? Phone Number
Plumbing Company Office Phoneo2Y7' 4&YrF FaxJy >- 9cWl
Co.Address: City h . f c�y State ' Zip-3 S3
License Holder(Print): v State Certification/Registration
Notarized Signature aflicense HolderC
••y::"•. JENNnERJOHMMN Before me this da of -h nn
• w'• � MY coMMlaalm N oo"M y 20 1T
EX%REa:otbEaMaJal
e �,,e,,,on,,� ignature of Notary Public
U V V