Permit 659 Selva lakes Circle ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000718 Date 6/04/10
Property Address . . . . . . 659 SELVA LAKES CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
4 FIXTURES
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Owner Contractor
------------------------ ------------------------
BARRES CHRISTY FIRST COAST PLUMBING
659 SELVA LAKES CIRCLE 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 . . . . 83 . 00 Plan Check Fee . 00
Issue Date Valuation . . 0
Expiration Date . . 12/01/10
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Fee summary Charged Paid Credited Due
----- ---------- ---------- ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 83 . 00 83 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jun 04 10 10,28a Christy First Coast Plumb 9042494660 P.1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/` Ph(904)2147--5926 Fax (904) 247-5845
JOB ADDRESS: ��� se � ya a-��e S Cl p__ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan �—
Drinking Fountain SIop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 'es "
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFIXTURE 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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of pleas)
❑ Lawn Sprinkler System-Number of Heads o Well **
**SJRWD 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 pennit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners NameSQ Yl- _�t3Q Y r-eS l Phone Number
Plumbing Company CHRISTY FIRST COAST PLUMBING INC Office Phone 2474419 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
Notarized Signature of License Holder
Swom and subscribed before me this day of 20
Signature of Notary Pu :MY' SHIRLEY L GRAHAM
MMISSION#Oil 957760
a 'EXPIRES:February 14,2014
pF� Bonded Thru Notary Public Underwriters
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
JJ Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: ((5q &,i VQ, t•GZ.( s Ci 2_ PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE 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 l?e8e `
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 ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**S7RWD 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 NameJ—a r6- _,r3- GL r r{s 1 Phone Number Z�LH- 8�3
Plumbing Company CHRISTY 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
Notarized Signature of License Holder 0. "- �. .,
MY HL
Sworn and subscribed b or e I 20
p'J:" Bon ru No Ik n raters
Signature of Notary Publi