Permit Plbg Unit 80 water heater 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001164 Date 9/22/10
Property Address . . . . . . 1088 CORNELL LN UNIT 80
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 fixture
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Owner Contractor
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CHRISTOPHER HULME PLBG, INC
55010 YELLOW JACKET RD
CALLAHAN FL 32011
(904) 384-6349
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/21/11
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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 ALI, 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:. 1() 60 r n AA \ CA n PERMFr#
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NEW OR REPLACEMENT INSTALLATION: Project Value
$ 5D
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 FDcTuRE QTY TYPE OF FvcTuRE 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:
E3 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
0 Lawn Sprinkler System-Number of Heads Ei Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
o 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 f) M Lez=t Phone Number2_4-9-_753L
Plumbing Company h[ IS Ouinxe P I In Office Phone 56 5�S'Fax
T City CC6t(�khC4\ StateF1 zip
Co. Address: 5-5cio, lldtok, '_ Calc(A _�2oll
License Holder(Print): 'A 0 0 h C-r J-yve State Certification/Registration# C FC(-, �t3 063
Notarized Signature of License Holder.4;;�;����
day Ocs
Sworn and subscribed befb�Te�this -r 201n
A ERIN E.MILUGAN
1p�9& Z& Notary Pubflc�State of Florida
Ink_f; Commission#DD885550 Signature of Notary Public (YN
= I My comm.expires Apr.30,2013