381 MAIN ST - PLUMBING ':A,::_.,_..
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Cl ' `„1, CITY OF ATLANTIC BEACH
r '" 9 800 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-3793
Job Type: PLUMBING ONLY
Description: PLUMBING - 12 FIXTURES
Estimated Value:
Issue Date: 4/20/2017
Expiration Date: 10/17/2017
PROPERTY ADDRESS:
Address: 381 MAIN ST
RE Number: 170903-0000
PROPERTY OWNER:
Name: NOEL, MARGARET H
Address: 381 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
, CFC037196
Address: 1601 MAIN ST QA JAMES STEEG
Phone: - -
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FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $84.00
Trade Permit Base Fee $55.00
Total Payments: $143.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
lit ILDING CODES.
: . PLUMBING PEIMJT AP' PLICATION
CITY OF ATLANTIC BEACH .
800 Seminole Rd Atlantic Beach, FL 32233 D
Ph(904) 247-5826 Fax(904) 247-5845 `7 `717- I L-B6 r `3
JOB ADDRESS: 3 '/ /p,a >YPERMIT#/ a "
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NEW OR REPLACEMENT INSTALLATION: Project Value S
•
TYPE OF F..r mmE Ona flPE OF FDaVRE MT
Bathtub /I . Septic Tank&Pit /
Clothes Washer Shower
Dishwasher •
/ Shower Pan
Slop Sink
Floor Drain Three Compartment Sink ' z
Floor Sink Toilet
Hose Bibs • y' . Urinal
Kitchen Sink / Vacuum.Breakers
Laundry Tray - Water Connected Appliances 1
Lavatory L Water Heater '
Other Fixtures Water Treating System
RE-PIPE: \-1/
TITE OF FEKT RE •Orr TYPE OF FrifTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Comport, ent 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 o Back Flow Preventer o Crease interceptor(Trap) gallons(Requires 3 sets of plai
Lawn Sprinkler System-Number of Heads o Well * ar�nent for final inspection.
SJRW.D Well Completion Form. Completed form to be submitted to the Building Dep
Ei Other
_ . ... v that I haec>J5
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereb,
this application and'crow the same to be true and correct All provisions of laws and ordinances governing this work will oe complied with whether s e
or not. The permit does not give authority to violate the provisions of any other state or local law regulation`on e.den or the performance of cousin:
Pr open- Owners Name P,4 C 'A ( ctica
Phone Number
-7
Plumbing Company �'�' ,4y b/h �P Office Phone 29 --�Y / Fax____
Co. Address: .,9 `P City J� ' �h State),J Zip 3 '3
ss ��� �r�G�0.3�19(0
License Holder(Print): Pt _ # State CertificatioriRegi.stration
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TONI GIRDLE 'ERGER LOh. :f" MY COMMISSION it FF 924951 i fowi.rormis°' SWIM ax-id •r bscxibed ue or ��� `�` EXPIRES:October 6,2019!'`>Rg,, �` Bended Thru Not*Public Underw iters _ A !VSignattre of Notary Public _