Permit Plbg Repipe 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001060 Date 8/26/10
Property Address . . . . . . 1877 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6 fixtures
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Owner Contractor
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PIETAN, JERALD H. STEEG PLUMBING
1877 BEACH AVENUE 1601 MAIN STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 97 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/22/11
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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.
AUG-26-2010 07:54 FROM:STEEG PLUMBING 9042410834 TO:2475845 P.1/1
PLUMBING PERMIT APPLICATION
CITY OIF ATLANTIC BEACH
900 Seminole Rd Atlantic Beach,FL 32233
Ph (904)2.47-5826 Fax(904)247-5845
JoBADDRESS:- 7 A�Iz ot - PERMU#
NEW OR REPLACEMENT INSTALLATION: Project Value
7Yrz oF Faraw L7ry TYPE or Fwum QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinldng Fountain Stop Sink
Floor Drain Ibree Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tmy Water Connected Appliances
Lavatory Water Reater
Other Fixt=s Water Treating System
RE-PIPE:
TYPE oF FLavRE QTY FrPE oir FawRE Q77
Bathtub Septic Tank&Pit
Clothos Washer Shower
Dishwasher ShoworPan
Drinking Fountain Stop Sink
Floor Drain Three Comparttnent Sink
floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory —7— Water Heater
Other Fixtures Water Treatinst System
MISCELLANEOUS:
o Sewer Replacement o Back Flow Preventer o Grease Inte:rceptor(Trap)_gallons(Pxquirgs 3 sets of p1235)
0 Lawn Sprinkler System-Number of HWs 0 well *0
**SJR WD Well Completion Form.Completeat0iii-fo be submitted to ffe--Building Depuftent for final inspection."
0 Other
Permit becomes Vold lfwork does not COMMOnc-0 WithIn a six fAonth period or work is suspended or abandoned for six montbs.I hereby ourtify that I have read
this application and know the same to be trixe and corrccL All provisions of laws and ordinances governing this work will be complied with whcthw spoomed
or rot. The permit dow not give authority to violate the provisions of any ot1w state of 10=1 law rqplxtion construction or the pe&nnmcc of conswuCtion.
.f* r
Property Owners Name 'FJ&/J6P" Phone Numbe
Plumbing company AlAe _rpe- _____Of rice Phone AIM'"d-Ig Fax
Co.Address: city At4 41 Stec P/zi-v 9AJ4,;
State Certification/Registration#41)'4032
License flelder(Print): 5�e' ecle
10'zqb-1r--
Notarked Signature of License Holder ' U.
Sworn and sub bed be ore me this day of 20
Signature of Notary Public