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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 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHRISTOPHER HULME PLBG, INC 55010 YELLOW JACKET RD CALLAHAN FL 32011 (904) 384-6349 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/21/11 ---------------------------------------------------------------------------- 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# ?� ec-kc v\ — F 1 :3 C) 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