299 Atlantic Blvd 0 DD 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-oolo0006 Date 4/23/14
Property Address . . . . . . 299 ATLANTIC BLVD G APPLICATION
Application type description DOG-FRIENDLY DININ
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 -----------------------
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Application desc
MSHACK DOGGY DINING FEE -----------------------
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Owner Contractor--------------
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------------------------
SOUTHCOAST CAPITAL PTNRSHP LTD OWNER
1600 INDEPENDENT SQUARE
JACKSONVILLE FL 322025018
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Permit . . . . . . DOGS ALLOWED OUTDR FD SERV ARA
Additional desc - . DOG DINING EXP 10/01/2014 . 00
Permit Fee . . . . . 00 Plan Check Fee 0
Issue Date . . . . 2/10/14 Valuation . . . .
Expiration Date . - 2/11/15 ------
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Special Notes and Comments
PERMIT MUST BE RENEWED EVERY YEAR AND
IS VALID UNTIL OCTOBER 1 . QUATERLY
INSPECTIONS WILL BE DONE. 2014 . MUST COMPLY WITH
PERMIT VALID UNTIL OCTOBER 1,
ATTACHED REQUIREMENTS . ------------------------
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 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
JOB ADDRESS: -c,,., PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF Fixmp-E 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
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:
• Sewer Replacement [:1 Back Flow Preventer 1:1 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads Ei Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
D 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 i e authori 0 violate the provisions of any other state or local law regulatioryconstruction or the performance of construction.
9/1 A one Number
Property Owners Na" - rh-
0 ice Phone -_7
Plumbing Company MT4 S Y:�?2 7, Fax
city State
Co. Address: MO . !!S�_Zip
9 '
License Holder(Print): State Certification/Registration
Notarized Signature of License Ho
20
MWTRWAM Before nj�his day of
M
My COMMISSION#FF 011460
Signature of Notary
P EXPIRES:Apfil 24,201', Publi
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BmW Thm Notary Pubi
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