2239 Barefoot Trace Permit Plbg Repipe 2010 . !.A.1'1 f
0, f Cl.
. Skii", CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00000987 Date 8/09/10
Property Address 2239 BAREFOOT TRAC
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
20 fixtures
Owner Contractor
HANSON, JIM AND JANET STEEG PLUMBING
2239 BAREFOOT TRACE 1601 MAIN STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249 -5191
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 195.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/05/11
Fee summary Charged Paid Credited Due
Permit Fee Total 195.00 195.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 195.00 195.00 .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: / :;10e 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 Slop ink
F Fountain
Floor 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
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 3
Hose Bibs Urinal
Kitchen Sink / Vacuum Breakers
Laundry Tray / Water Connected Appliances /
Lavatory 9 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 **
** 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 violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name - VIA, AIM S rh. Phone Number
al 's
Plumbing Company 5tc, Air 4. G Office Phone Z Fax t;• - C 3
Co. Addr • a •, _ , 1 City / ne-A State .1/ Zip 31- 3
94 &td 11 jj ( State Certification/Registration # en to 37/94
Licens I ' e J
;v j � ' . , ` `` ' q Dins i ner w
Notariz =,kt , : . _..
Sworn an ubscribed be ore me this , day of 47 -&S e t )fiLL., 2 U
Signature of Notary Public