2310 BEACH COMBER TR - PLUMBING " j� CITY OF ATLANTIC BEACH
f800 SEMINOLE ROAD
tJ 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-3816
Job Type: PLUMBING ONLY
Description: PLUMBING - WATER HEATER
Estimated Value:
Issue Date: 4/24/2017
Expiration Date: 10/21/2017
PROPERTY ADDRESS:
Address: 2310 BEACHCOMBER TR
RE Number: 169463-0066
PROPERTY OWNER:
Name: CRUISE, JOSEPH F & ELENI, *
Address: 2310 BEACHCOMBER TR
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CI'T'Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 l 7 - P L e _3 8 6
JOB ADDRESS: 2-al 0 & \ 0_661.4_,LevZ i-r PERMIT#
M-104.i L c. 3 ? 7 - -)
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 I
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:
D Sewer Replacement 0 Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
O Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ 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 authorit o violate the provisions of any other state or local law regulation construction or the performance of construction.
°
Property Owners Name I Q l5 Phone Number ! 3og ii,l s
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Plumbing Company e.e.,5Office Phone 80-6 5Oa Fax
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Co. Address: .5 gO± ( ) 1 0At City. 0-4,A- State et Zip 3 Z2 .-
License Holder(Print): ZA..a., �
v . i -' St to Certification/Registration#C. € (4 2q(93-1-
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Notarized Si nature o License Holder �n i
0:'eyft., TONI GINDLESPERGER hOPI r\Before n a is 4 day PET20 ( 7
r� MY COMMISSICV k FF 924951 S
y: r_ 11
7,: a: EXPIRES:October 6,2019 ' .
'4;�.;t:' Banded Thru Notary Public Underwr tern Signature of otary Public� 1