659 BEACH AVE - PLUMBING r/ M?)
'.- �S� CITY OF ATLANTIC BEACH
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,� d- s„ ;� 800 SEMINOLE ROAD
KV 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: 15-PLBG-2259
Job Type: PLUMBING ONLY
Description: 59 fixtures carriage house and new home
Estimated Value:
Issue Date: 9/25/2015
Expiration Date: 3/23/2016
PROPERTY ADDRESS:
Address: 659 BEACH AVE
RE Number: 170118-0000
PROPERTY OWNER:
Name: MCGURRIN, JOSEPH J
Address: 659 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: TDG PLUMBING
Address: 4426 LOYS DR QA TRAVIS DALE GAINEY
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $413.00
Trade Permit Base Fee $55.00
Total Payments: $472.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 6 6-9 f3c,1, ia ve PERMIT # ( S- t A 0 0
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub _a__ Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet g
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray 1 Water Connected Appliances Z
Lavatory __S___ Water Heater ____ -
Other Fixtures /� q Water Treating System
RE-PIPE:
l/ `
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY l'el
Bathtub Septic Tank&Pit �j
Clothes Washer Shower v `
Dishwasher in Shower Pan
Drinking g Fountain Slop Sink / G
Floor Drain Three Compartment Sink J
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
CELLANEOUS:
Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SIRWD 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 state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company'M(J 4 P L,,,...5s v.1 Office Phone 6-1-15----714) Fax %CI Li-) ,S---/3•
Co. Address: LA WI t. L.•Z N 0(1.- City'SP.Y- State fl-- Zip `J l
License Holder(Print) ZZ Ad Z • QIN;1 State Certification/Registration it CF'C- 1 y 2-1?(
Notarized Signature of License Holde
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a4`# % Notary Public state of Florid43e',re me this Z S of , (I` 20/
Shirley L Graham .
?; My Commiss'on FF 086990 Sig ature of Notar•':...
oro Expires 02/14/2018 g ' •"_� eV
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