Permit Bldg Bath Remodel/repair 1947 Beachside Ct 2010 .;' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Ji31 >
Application Number 10- 00001247 Date 11/15/10
Property Address 1947 BEACHSIDE CT
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 10000
Application desc
BATHROOM REMODEL /REPAIR
Owner Contractor
JOHNSON, GUY RICHARD BELL BLDG CONTRACTOR
P.O.BOX 330706 1952 BEACHSIDE COURT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249 -0131
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . WILLIAM'S BIG BOY PLUMBING INC
Permit Fee . . . 83.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/14/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 83.00 83.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 87.00 87.00 .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)
ADDRESS: 1 ) 247 -5845 /
/ �-� _ PERMIT # ! U " 7
t
N OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 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
PIPE:
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
SCELLANEOUS:
ewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
,awn Sprinkler System - Number of Heads ❑ Well * *
>JRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
Iher
it 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
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
t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
( ' •,, perty Owners Name G) i, :IOWA) S d al Phone Number
I nbing Company ` W .i,lkwt S 6; to 0 ` ?Cki 4b civ Office Phone -(( (`6 q 0 Fax
Address: S6(,p L( M)G $o c^
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City �'�cG State Zip 3Z
nse Holder (Print): (AA( ( kw- G Pc State Certification/Registration #
arized Signatu i , , - - _: _.__ a
o �° y DEBORAH A. WHITE I , f day
`• '= MY COMMISSION #�}'E . subscribed before
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