Permit Plbg Irrigation 2010 Jov
TIC BEACH
CITY OF ATLAN
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001095 Date 9/02/10
Property Address . . . . . . 578 BEACH AVE
Application type description IRRIGATION/SPRINKLER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
IRRIGATION
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Owner Contractor
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OW DOLPHIN IRRIGATION INC
SCHERER, JOSEPH & STACY 14618 HADLEY COURT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
(904) 757-8979
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/01/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 62 . 00 62 . 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: S71? ffe,$C'N Ile PERmrr#
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 FLYTuRE 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:
1:1 Sewer Replacement ii Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
J�Lawn Sprinkler System-Number of Heads ft Well
* SJR WD Well Completion Form. Complete 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 Name Phone Number 7/9 -
PlumbingCompany Office Phone '7)-7-ffP'77 Fax
Co. Address: /!Yele ,VkDie1 city State "-VZ- zip.nq'le
License Holder(Print): Z4elzy Stale Certifiratio'41 ion 4 -r- ,l 7:1
Notarized iture of License Holder
MINI lu subscribed before:ot day of 2 0 t/c)
DD 634126
1 e of Notary Public