1878 Beach Ave plbg permit IyLy
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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-3803
Job Type: PLUMBING ONLY
Description: replace 14 fixtures
Estimated value:
issue Date: 4/21/2017
Expiration Date: 10/18/2017
PROPERTY ADDRESS:
Address: 1878 BEACH AVE
RE Number: 169542-0606
PROPERTY OWNER:
Name: Underwood, Malaika
Address: 1878 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: B & G PLUMBING CO., INC.
Gene Christian Rover,CFCO22593
Address: 2232 CORPORATE SQUARE BLVD
Phone: - -
FEES:
Plumbing Fixtures $98.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $157.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
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ATLANTIC BEACH
PERMIT RECEIPT
J;33SApril 21, 2017
PERMIT DESCRIPTION: replace 14 fixtures
PERMIT NUMBER: 17-PLBG-3803
ADDRESS: 1878 BEACH AVE
OWNER: CITY OF ATLANTIC BEACH
ED0 SEMINOLE RD
Plumbing Fixtures $98.00 ATLANTIC BEAC,R.32233
03;21ma II:53:D0
State PLMG DBPR Surcharge $2.00 CREDIT CARD
NSA SALE
State PLMG DCA Surcharge $2.00 CARD C XXI(XM%%%XXN%00
INVOICE O04DI
SEQ a: 0004
Trade Permit Base Fee $55.00 BaOh A: 000545
Approval Cade: 023753
Enr7 Mdad: Maual
Mode: Online
Totals: Tar Nnant. $0.00
$157.00 Card Cade: M
SALE AMOUNT $153
CUSTOMER COPY
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04-21-17; 10:56AM;From;B_ind_0_Plumbing To:2475845 ;9042233750 # 1/ 1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Pax (904) 247-5845
JOB ADDRESS: 1818 6EAcli AVLc PERMIT# 17 -xAAR-3689
NEW OR REPLACEMENTINSTALLATION: Project Value
TYPO OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slo Sink
Floor Drain p
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 OF FIXTURE QTY TYPE 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:
o Sewer Replacement o Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 ants of pians)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SIRWD Well Completion Form. Complateaform to be submitted to the Building Department for final inspection.**
o Other
Permit b000mn void If work does not opmmenco within x six month period or work ie suspended or abundancd for six months.1 hordby sonify that I have road
this application and know the dome to be no and WITeot. All provisions of laws and ordinance govoming this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other stoic or local law regulation wristmetlon or the performance or construction.
Property Owners Name A AL at rcA u whou4s'6ed Phone Number
Plumbing Company %04 PLu^4,wb eo Office Phone 19.3.3SsrS Fax 153 .3750
Co. Address: 2511 GORPoRATE sp_v4xF Avn City Saarcseww,tte State fC Zip2551i
License Holder(Print): 15•1 c- Rev" State Certification/Registration# ZFea52S93
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ndt.tMI S, •:0::FF.0:04'7lwW Swom and subscribed before m/fJhis day of 20 /commaalontts9 )'my comm.Eapl10.2020 Signature of Notary Public 1144
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