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
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Application desc
1 irrigation
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Owner
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BELL, RICHARD
1952 BEACHSIDE COURT
ATLANTIC BEACH FL 32233
Contractor
HULIHAN TERRITORY
P,O. BOX 331268
ATLANTIC BEACH FL 32233
(904) 270-8377
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Permit PLUMBING PERMIT
Additional desc .
Permit Fee 62.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 1/10/11
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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