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
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Application desc
REPLACE TOILET AND SHOWER PAN
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Owner Contractor
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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
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/31/10
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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
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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.
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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
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EXPIRES:May 21,201
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