Permit Plaza 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001003 Date 8/12/10
Property Address . . . . . . 805 PLAZA
Application type description PLUMBING ONLY
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
PARTIAL REPIPE 6 FIXTURES
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Owner Contractor
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AUGUSTINE, JAMES ALL PHASES PLUMBING
805 PLAZA 865 SAILFISH DR
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 449-8116
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . PARTIAL REPIPE 6 FIXTURES
Permit Fee . . . . 97 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/08/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97 . 00 97 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 97 . 00 97 . 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: -z- A PERmrr
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 Fountain Slop Sink
Floor Drain 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
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
El Sewer Replacement Ei Back Flow Preventer o Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
1i Lawn Sprinkler System-Number of Heads El Well
**SJR'V letion Form. Completed form to be submitted to the Building Department forfinal inspection."
Ei 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 0"A J Phone Number
Plumbing Company Lly _J W( Office Phone 7,- Fax-
r V'f- ity State )Q-Zip 3,77_r3
Co. Address: %i6f f I /F( 3 c d-.r_-2 A�cX
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License Holder (Print): �41,'Ilt4tjM State Certification/Registration 4 i5f_-C OU 76,
Notar turgfi A"M 0 r)o
.'--Ca.. MY !ISSION DD 6'wl,'3U4128
PIPES Me:
, Y21620 1:
. ....W 61.XPIPES:MgyPJ'20II orn and subscribed before 4e this, day of 20/()
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