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Permit Unit 3 Plbg Repipe 2010 CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001059 Date 8/25/10 Property Address . . . . . . 2133 SEMINOLE RD UNIT 006 Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 11 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NASLUND, DAG CELTIC CUSTOM PLUMBING INC. 2133 SEMINOLE #06 PM BOX 118 ATLANTIC BEACH FL 32233 4446-1A HENDRICKS AVE JACKSONVILLE FL 32207 (904) 396-6757 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 132 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/21/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 132 . 00 132 . 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 1 V Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: ERMIT# NEW OR REPLACEMENT INSTALLATION: ProjectValue$ 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 F-i Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) 0 Lawn Sprinkler System-Number of Heads El Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final 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 Nairne _T Phone Number -1—' \-r j- -Vq%"�- Fax Plumbing Company __�_�, .Office Phone Co. Address: 4L+kL — IN, ty State k, Zip C' State Certification/Registration 4 CC License Holder (Print): Notarized Signature of License Holder Sworn and subscribed before me this day of 20 Signature of Notary Public