190 SEMINOLE RD - PLUMBING (---
ss` , CITY OF ATLANTIC BEACH
r � ? - 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-3768
Job Type: PLUMBING ONLY
Description: PLUMBING - 3 FIXTURES
Estimated Value:
Issue Date: 4/14/2017
Expiration Date: 10/11/2017
PROPERTY ADDRESS:
Address: 190 SEMINOLE RD
RE Number: 170593-0000
PROPERTY OWNER:
Name: LAWHUN ET AL, SHERI L
Address: 190 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: STEEG PLUMBING
, CFC037196
Address: 1601 MAIN ST QA JAMES STEEG
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21 .00
Trade Permit Base Fee $55.00
Total Payments: $80.00
I
1
PERMIT IS APPROV I:D ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUIVEBLNG PERM T AY:MMCA IO
r CITY OF ATLANTIC BEACH .
800 Seminole Rd Atlantic Beach, FL 32233 - 37 g
Ph(904) 247-5826 Fax (904) 247-5845 17- PL f3G
JOB ADDRESS: '/ 5 Ai ,) • PERMIT
•
•
NEW OR REPLACEMENT INSTALLATION: Project Value$
;CITE oF Frxrace • Orr TYPE OFF ZZR O .Y
Bathtub Septic Tank&Pit _____L____Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain - Slop Sink
Floor Dainitui
twee Ce paent Sink _L____
Floor Sink Toilet
Hose Bibs " . - ux mal
Kitchen Sink — Vacuum Breakers
•
Laundry Tray •
Water Connected Appliances
Lavatory -.-i--- Water Heater
Other Fixtures Water Treating System
•
RE-PITE:
TYPE OF Fai URE Or'` TYPE OF F,cE;,rrvRE OTT
Bathtub Septic Tank&Pit
Clothesiances •
Shower
Dishwasher Shower Pan
Drinking Founl in • Slop Sink
Floor Drain Three Competent Sink
• Floor Sink Toilet
Hose Bibs Urinal
Rueben Sink V ac ru Breakers
Laundry Tray Water Connected Appliances .
Lavatory - Water Heater
[t/l •
Other Fixtures - • Water Treating System
MIS CELLA N I�..i V S: .
Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pial
:
.awn Sprinkler System-Number of Heads 0 Nell . *T
`=" SJRWD Well Completion Form. Completed form to be submitted to the Building Depar`anent for finalmspecorl-
Other •
....-. . ...:. . .. .... . • _ .. . . v 4,1i I bale
Pe,t,,it becomes void if work does not commence within a six month period or worn is suspended or abandoned for
or sic months.I hereby cei y
this application and imow the sane to be t ae and correct All provisions of laws and ordinances oveining this work will oe complied w o f eci.
S aeon or the erfo:man �iOi
c-riot. The permit does not give autho.-ty to violate the1provisions of any other Ste or local law rcguleion c0 Sx P
ProoeriY OW ersName 4/'S
6/lift Ve‘ Phone Nri liber
��-- e6 er Office Prone /'',2 91 Fax•______-----
. lur1ibirig Company /C h- 1�
State L,Zip'�� c�,
Co. Address: i • I /` city���"�. �������
License 11,1, - ' : - _.. i- — State Cex cat-ioaRegistration Aff,
T�ONI G NDLESP,�€^ tR �t
ti,r*444 v t � PR-older //!II Ilii. • 11
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. -;a= EXPIRES:October 6,2019 7
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:x w$` Bonded Thru Notary PuStic Underwriters 1 Sworn ,rd subscribed .,e ore
Signature of Notary Public • ��. - ;<