Permit Plbg Repipe 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
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Application Number . . . . . 10-00001124 Date 9/13/10
Property Address . . . . . . 1806 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
12 fixtures
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Owner Contractor
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HARRELL, MARC CHRISTY FIRST COAST PLUMBING
1806 SEMINOLE ROAD P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
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Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 139 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/12/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 139 . 00 139 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 139 . 00 139 . 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 ADDRFSS:
P I S�a)/ no 1-e Rd PERMff
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FixTum QTY TYPE OF Fwum 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: Aldtlw
TYPE OF Fwum QTY TYPE OF FIXTuRE QTY
Bathtub I Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Stop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs .. 2 Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2, Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
• Sewer Replacement 0 Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads o Well
**SJR WD Well Completion Form. Completed form to be submitted to tFe—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 D
Plumbing Company CHRISTY FIRST COAST PLUMBING, INC Office Phone 247-4419 Fax 249-4660
Co. Address: PO BOX 50446 City JACKSONVILLE BEACH State FL Zip 3 2240
'License Holder(Print): BRIAN D. CHRISTY State Certification/Registration# CF C056487
Notarized Signature of License Holder— '�') _---
Sworn and subscribed
Signature of Notary Pu