Permit 1707 Beach AvenueCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000833 Date 6/30/10
Property Address 1707 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
IRR
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Owner Contractor
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GRANT, S.W. ------ -------------------
HULIHAN TERRITORY -----
1707 BEACH AVENUE P.O. BOX 331268
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904} 270-8377
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Permit ---------------------------------------
PLUMBING PERMIT ------------
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Additional desc .
Permit Fee 62.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 12/27j10
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Fee summary
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Charged
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Paid Credited
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Due
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Permit Fee Total 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 62.00 62.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BI3ILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
708 ADDRESS: ~ 713 7 ~~ ~'GC'y f 7~ ~~t k ~ PERMIT #
NEW OR REPLACEMENT INSTALLATION:
TYPE OF FIXTURE
Bathtub
Clothes Washer
Dishwasher
Drinking Fountain
Floor Drain
Floor Sink
Hose Bibs
Kitchen Sink
Laundry Tray
Lavatory
Other Fixtures
RE-PIPE:
TYPE OF FIXTURE
Bathtub
Clothes Washer
Dishwasher
Drinking Fountain
Floor Drain
Floor Sink
Hose Bibs
Kitchen Sink
Laundry Tray
Lavatory
Other Fixtures
MISCELLANEOUS:
Project Value $
QTY TYPE OF FIXTURE QTY
Septic Tank & Pit
Shower
Shower Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
QTY TYPE OF FIXTURE QTY
Septic Tank & Pit
Shower
Shower Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
^ S~wer Replacement ^ Back Flow Preventer ^ Grease Interce for (Trap} gallons (Requires 3 sets of plans)
I~' Lawn Sprinkler System-Number of Heads ell • *
** SJRWD Well Completion Form. Completed form to be submitted to the B-~iia~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 autho~~ri/~ty~ to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ~`-~~ry ti ~ h f'' Phone Number 2 ti 6 - ~{ c 1~.!'""
Plumbing Company ~~ /, ;~ c,,, ~T~n/~i~y -1z•c.._ Office Phone Z ~ fps a ~ Fax 2 ?0 2 Z 3~
Co. Address: /(7 ~ ~/sue ~~~ ~~~. ~ City ~ ~ State ~G- 2ip-~ ?~'~..~
License H®I€Ier (Paiint}:
l~~trtc~rized Si~r~.~tu~^e c~~"~~n~~a:,~e ~~~e~ea°
State Certificatioi~/Registration # ~ • ~~
-~ 1
Sworn and subscribed before met s~,•~"Y'"~,. 20
s~ ~~ ~
_'~' ~~ MV COMMISSION D 9,57760
Signature of Notary Public ~a
' Bonded Thru Notary AuWic ilnderwriters