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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 ---------------------------------------------------------------------------- Application desc PARTIAL REPIPE 6 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AUGUSTINE, JAMES ALL PHASES PLUMBING 805 PLAZA 865 SAILFISH DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 449-8116 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 1� 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/() We!6,1 V rhm Notary P blic W ftritr. sorlded.2ni Notary Public ume"ar, ublic gnature of Notary P 36 2) JV)Zj