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317 8th St plbg permit CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !) ;" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5614 708 INFORMATION: Job ID: 17-PLBG-2972 Job Type: PLUMBING ONLY Description: install 25 fixtures Estimated Value: Issue Date: 1/10/2017 Expiration Date: 7/9/2017 PROPERTY ADDRESS: Address: 317 STH ST RE Number: 169956-0100 PROPERTY OWNER: Name: Tidewater Homes, LLC Address: 3625 Hendricks AVE GENERAL CONTRACTOR INFORMATION: Name: DARLEYS PLUMBING INC. CFCO56702 Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY Phone: - FEES: Plumbing Fixtures $175.00 State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $234.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION GD CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: -7 3TE1 s-1 PERMIT H NEW OR REPLACEMENT INSTALLATION: ProjectValueS TYPE oFFIXTURE QTY TYPE oFFvcruRE QTY Bathtub 3 _ Septic Tank&Pit Clothes Washer I Shower J— Dishwasher I Shower Pan J— 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 RE-PIPE: TYPEOFFIxTURE QTY TYPE oFFIXTURE 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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **,VRWD 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 authority to violate the provisions of any other more or local law regulation construction or the performance ofconstmction. Property Owners Namen,^,^ ;,bz *-]]R.. 1�•,.ca Phone Number Plumbing Company�"'� (IJMT2.,c 3,,dc Office Phoneme-?-f YUY Fax7L7 -Play- Co. Address: Y471 P M, zais llwy City 'TAk State F4 Zip 712.o7 License Holder(Print): t L OAC State Certification/Registrafion# CFC 056'7 o t. older w„•.,, JOANNE Ell r5 Notary Public-State o1 Florida Sworn and subscribed before this o/2`l/ day of T,9•�6M 4 201 I Communion N GG 021181 II $e My Camra,Ergrae Au0 29.2020 Signature of Notary Public Bonded tAnup Name Mary Assn.