Permit 149 Beach Avenue (vault)CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000893 Date 7/19/10
Property Address 149 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
SHOWER PAN
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Owner
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MORGAN, DALE
147 VIRGINIA DR.
WINTER PARK FL 32789
Contractor
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AMERICAN PLUMBING CONT. INC.
5720 ARLINGTON RD
JACKSONVILLE FL 32211
(904) 591-5385
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Permit --------------------------------
PLUMBING PERMIT ---------------------
Additional desc SHOWER PAN
Permit Fee 62.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 1/15/11
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Fee summary
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Charged
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Paid Credited Due
-------- ---------- ---------
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
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
.JOB ADDRESS: '~ ~uU~Cbf'" /~ 1/cS~ PERMIT # Q '~
NEW OR REPLACEMENT INSTALLATION:
TYPE OF FIXTURE QTY
Bathtub
Clothes Washer
Dishwasher
Drinking Fountain
Floor Draui
Floor Sink
Hose Bibs
Kitchen Sink
Laundry Tray
Lavatory
Other Fixtures
RE-PIPE:
TYPE OF FIXTURE QTY
Bathtub
Clothes Washer
Dishwasher
Drinking Fountain
Floor Drain
Floor Sink
Hose Bibs
Kitchen Sink
Laundry Tray
Lavatory
Other Fixtures
MISCELLANEOUS:
Septic Tank & Pit
Shower
Shower Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
TYPE OF FIXTURE
Septic Tank & Pit
Shower
Shower Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
QTY
QTY
^ Sewer Replacement ^ Back Flow Preventer ^ Grease Interceptor (Trap} gallons (Requires 3 sets of plans)
^ Lawn Sprinkler System-Number of Heads ^ 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 permit does not give authority to vy6l~te the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name _
Plumbing Company ~+~
Co. Address: 5'1'~o r i
License Holder (Print):
Notarized .SigFtcata~r~e of ~ice~~~e
NOTARY PU13L1C-STATE OF FLORIDA
Kim Lassiat
`_- Cairamission # DD761321
,~ Expires: APR. 08, 2012
[30NDED THRU ATLAN'T'IC BONDING CO., INC.
.~
~~
Project Value $
TYPE OF FIXTURE
bed before
Signature of Notary Public
_ Phone Number ''-"
-rce Phone`1~`1-1`15-IIvg3 Fax~~4'~`t3•gq`1`{
-~c.~a State ~~ Zip 3~.1 t
State Certifcatioi egistration # C.Fc. a 5 b `1g$
of '~~~ 20 ~~