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Permit Plbg water heater 2065 & 2067 George St 2010 a` 0 e 4,,, , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 �y u.rt Application Number 10- 00001334 Date 11 Property Address 2067 GEORGE ST /03/10 Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc WATER HEATER Owner Contractor JACKSONVILLE HOUSING AUTHORITY FLINT CONSTRUCTION SVCS(PLBG) 1419 LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 994 -9626 Permit PLUMBING PERMIT Additional desc . WATER HEATER Permit Fee . . . 62.00 Plan Check Fee Issue Date 00 Expiration Date . . 5/02/11 Valuation 0 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 .00 Plan Check Total .00 .00 . .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 66.00 66.00 .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: 0 206,7 6 .- S i PERMIT # -/3 j 4i_ NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Clothes Washer Septic Tank &Pit Dishwasher Shower Shower Pan Drinking Fountain Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Urinal Kitchen Sink Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System RE -PIPE: TYPE OF FIXTURE OTY TYPE OF FIXTURE Off' Bathtub Clothes Washer Septic Tank & Pit Dishwasher Shower Shower Pan Drinking Fountain Floor Drain. Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons : Lawn Sprinkler System - Number of Heads g (Requires 3 sets of plans) k* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fmal inspection. ** J Other 'emzit 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 its 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 r 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. 'roperty Owners Name 7 cAc94 '. //P 4 4 16 '/. © Phone Number 6 k- 3 P/o 'lumbing Company Fli4 - 1 C / Oil SA, a ;,l Sec - 6 e' c Office Phone 7 Kt' 9'44 Fax 7,2 - 4e i( o. Address: 14/ cf L, ;� �S i ( 0,C, � _ City f /mot• c /1 State /( Zip 5 ? �ieense Holder (Print): /` �s c t /l 17, , f State Certification/Registt. ion # CSC rotarized S" - : o� -. _ , ■ . ., ,, er / I ;; „� MY COMMISSION # DD 634126 ,.' i. `, a 11 EXPIRES: May 21, i ,,y td BondedThmNorPublic d subscribed before met day of w / 20 Signature of Notary Public '" ✓, � y CITY OF ATLANTIC B E R D f. 800 SEMI v ' ? ATLANTIC BEACH, FL 32233 Jr4 " INSPECTION PHONE LINE 247 -5826 44.4 10- 00001333 Date 11/03/10 Application Number 2067 GEORGE ST Property Address 2065 Tenant nbr, name Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . • 0 Application desc water heater replacement Contractor Owner JACKSONVILLE HOUSING AUTHORITY FLINT CONSTRUCTION SVCS(PLBG) 1419 LINKSIDE DR FL 32233 ATLANTIC BEACH FL 32233 ATLANTIC BEACH 994 -9626 Permit PLUMBING PERMIT Additional desc . WATER HEATER REPLACEMENT .00 Permit Fee . . . 62.00 Plan Check Fee . 0 Valuation Issue Date � 5/02/11 Expiration Date . . STATE PLBG DCA SURCHARGE 2.00 Other Fees STATE PLBG DBPR SURCHARGE 2.00 g Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 .00 .00 Other Fee Total 4.00 .00 .00 Grand Total 66.00 66.00 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: 0 (S b , e"i-y L c • PERMIT # /0 —/ 3 3 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 FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sunk Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fmal inspection. ** ❑ 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. ns �� ion. 1i 4 ., //a/41_, 747 Phone Number 3© Property Owners Name Ti el v' P �' � � 7� p rt �Q� 9' Fax 4e l/ Plumbing Company F1i (d N I Sa"'G Office Phone Co. Address: NI e f `r It � 5 r �• Le D,C ' City f / / ( /1c.4 State f Zip 34 r c �, s S L l ( F( /- f State Certifica io Registrat' n # C FC License Holder (Print): � 1 76 ed Signature o License Holde lC :e /�. J Nota� Iz g f DEBORAH SITE w rd subs before me lis - da of ) lf ( 20 a e ,,, . MY COMMISSION # DD 63418 I and / E ------- / clk C— XPIRES: May 21, 2011 tore of Notary Public Bonded rub Notary public Undernr • ' �