1730 PARK TER E - PLUMBING f CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
J 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-3548
Job Type: PLUMBING ONLY
Description: PLUMBING - 16 FIXTURES
Estimated Value:
Issue Date: 3/22/2017
Expiration Date: 9/18/2017
PROPERTY ADDRESS:
Address: 1730 E PARK TER
RE Number: 172020-0394
PROPERTY OWNER:
Name: Moore, Paul
Address: 1730 Park TER
GENERAL CONTRACTOR INFORMATION:
Name: TURNER PLUMBING CO.
, CFCO29746
Address: 1903 HENDRICKS AVE QA WORTH B TURNER
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $112.00
Trade Permit Base Fee $55.00
Total Payments: $171.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
Bl'II.DING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 I 7-(ThL ge-35i 8
Ph(904)247-5826'82Fax(904) 247-5845 1'7 R l4 f t - 30 Vo
JOB ADDRESS: i/3 0 Zeb.) 'IL. ``---/ .. G • PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer —i— Shower Y
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs y Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray I Water Connected Appliances
Lavatory "I h Water Heater l
Other Fixtures ` ater Treating System
RE-PIPE: / `LP
TYPE OF FIXTURE QTY l YPE OF FIXTURE 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 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads 0 Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o 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 true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ?ia► A.1 WI Dolt-- Phone Number
Plumbing Company erne r 4)11.e.w L} (---. Office Phone 3�t6-'T 'L4Fax 34( -?a(CQ
Co. Address: I 3 u'��✓t c.k, i�J City—AM i - ' & -State F it Zip 3n-D7
License Holder(Print): tie a a.A•✓ivt-/ State Certification/Registration#CR-°V1147
• •. • ., e Holder N.NZ% • 4 �'
Ott., TONI GINDLESPERGER
1 Lob - MY COMMISSION#FF 924951 Before me this ZZ_ day of It AA, 21 [7
"��-��:a= EXPIRES:October 6,2019
$.t<;" Bornicd Thru Nc ary public Unde,wr'ters
Signature of Notary Public •