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Permit 1952 Beachside CourtCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000877 Date 7/14/10 Property Address 1952 BEACHSIDE CT Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc 1 irrigation ---------------------------------------------------------------------------- Owner ------------------------ BELL, RICHARD 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 Contractor HULIHAN TERRITORY P,O. BOX 331268 ATLANTIC BEACH FL 32233 (904) 270-8377 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 62.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/10/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 62.00 62.00 .00 .00 .00 .00 .00 .00 62.00 62.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION JOB ADDRESS: y' CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 j~ Ph (904) 247-5826 Fax (904) 247-5845 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 Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System ^ Sewer Replacement ^ Back Flow Preventer ^ Grease Interceptox (Trap) gallons (Requires 3 sets of plans) ^ Lawn Sprinkler System-Number of Heads 7i17 ~e11 ~Y/~ ** SJRWD Well Completion Form. Completed form to be submitted to the Building >~partment 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 con•ect. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authoQrity to violate the provisions of any other state or local ]aw regulation construction or the performance of construction. Property Owners Name l``L L~ ~~e Z~ Phone Number Plumbing Company ~/!~~'' ~ ~"~~ ~P [- Office Phone 2 ~s, ~S' Fax Z ~~' 2z3~ Co. Address: / ? .~/~~~r ~~- ~ ~v ~ City ~ /~ State~~ Zip ~ Z 2,~~ License Holder (Print): J ~d T~ ~~ Natarize€Z 5`i~raatarr~e of bicerr~e ~olcder~ State Certification/Registration # Sworn and subscribed before me this Signature of Notary Public QTY TYPE OF FIXTURE QTY day of ~~~~ 20