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Permit 373 6th Street CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 E LINE 247-5826 INSPECTION PHON Application Number . . . . . 10-00000548 Date 5/04/10 Property Address . . . . . . 373 6TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc REPLACE TOILET AND SHOWER PAN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COBLE HOWARD FRED CHRISTY FIRST COAST PLUMBING 373 6TH ST. P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/31/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV 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 lc� J JOB ADDRESS: - 3 q_ '�) — PERmrr NEW OR6����NSTALLATION: Project Value$ TYPE oF FixTuRE QTY TYPE oF FixTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher ower Drinking Fountain Slop in Floor Drain Three Compartment Sink Floor Sink CZ[p:jie�), Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: J TYPE oF FtxTuRE 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: o Sewer Replacement o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) 11 Lawn Sprinkler System-Number of Heads El Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." o 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 pyi;on's _(f any other state or local law regulation construction or the performance of construction. r "� _��I Property Owners Name hexa-1-c'I C& Phone Number c Plumbing Company CH RISTY FIRST COAST PLUMBING, INC Office Phone 247-4419 Fax 249-4660 Co. Address: PO BOX 50446 City JACKSONVILLE BEACH State FL Zip 3 2240 License Holder(Print): BRIAN D. CHRISTY State Certification/Registration# CF C056487 L Notarizeid 11S 11 1 wat DIEMM k VMrM e) re 63412B rn and subscribed befo ay o 2C My COMMISSION#DD d EXPIRES:May 21,201 wd9dThruNotarVpub9cUnd8rWdt8 of Notary Public