Permit Bldg Enc Carport 31 5th St 2010 v
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CITY OF F ATLANTIC BEACH
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� 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
4 ,,19 INSPECTION PHONE LINE 247 -5826
Application Number
Property Address . . • • 10- 0 0001422
Date 12/22/10
Application type description RESIDENTIAL ALTERATION
Property Zoning •
Application valuation TO BE UPDATED
---------------- - - - - -- ------------------------ 10000
Application desc
- - - - -- ENCLOSE - CAPORT - /DOORS, -RECONFIGURE TO ADD BATH
---------------------------------
Owner
___ Contractor
CLARKSON MCCALL, ROSE ----- ----- - - - - -- __
31 5TH STREET OWNER
ATLANTIC BEACH
FL 32233
-- Structure - Information - 000 - 000 -- ENCLOSE CARPORT W /DOOR ALTER ADD BATH
- - - - -_ --
PLUMBING PERMIT ----- - - - - --
Additional desc - - - - - --
Permit
Sub Contractor WILLIAM'S BIG BOY PLUMBING INC
Permit Fee
Issue Date 90.00 Plan Check Fee
Expiration Date Valuation .00
0
• 6/20/11
------------ - - - - -- ______ __
_____
Special Notes and Comments
ENCLOSE EXISTING CARPORT WITH DOORS,
DEMOLISH EXISTING BATH AND LAUNDRY AND
ADD BATH INSIDE HOUSE
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
* REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
_--- _- *PROVIDE - ACCESS - TO -ALL - WINDOWS - TO INSPECT FASTENERS
Other Fees --- -------------- - - - - - --
• • • • STATE PLBG DCA SURCHARGE
STATE PLBG DBPR SURCHARGE 2.00
2.00
Fee summary Charged g Paid Credited
Permit Fee Total Due
Plan Check Total 90.00 90.00
.00 .00 .00
.00 .00 .00
Other Fee Total
Grand Total 4.00 4.00 .00 .00
94.00 94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCE o AND THE FLORIDA 0 0
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 2 47 -5845
JOB ADDRESS: 3 ( 5 cSO�.g -62_46.
PERMIT # 0 l q 2 - 2 —
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPE OF FIXTURE $
Bathtub QTY TYPE OF FIXTURE
Clothes Washer QTY
- Septic Tank & Pit
Dishwasher Shower --
Drinking Fountain Shower Pan ___I_____
Floor Drain — Slop Sink
Floor Sink Three Compartment Sink --
Hose Bibs Toilet ----
Kitchen Sink Urinal —L_
Laundry Tray Vacuum Breakers --
Lavatory Water Connected Appliances --
Other Fixtures Water Heater
Water Treating System
RE -PIPE:
TYPE OF FIXTURE
QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank & Pit
Dishwasher Shower -_
Drinking Fountain Shower Pan
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
MISCELLANEOUS: Water Treating System
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) allon
❑ Lawn Sprinkler System - Number of Heads g s (Requires 3 sets of plans)
** SJRWD Well Completion Form. Completed form to be submitted to the 1Bui' ding De
❑ Other P artme
nt for final inspection. **
'emit 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
his 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 OO (4 1
Phone Number
'lumbing Company , ( Gist. &..c.. �. ' �J��
�1►��s�l� q -, ice Phone ot{t -nQ Fax
'o. Address: 5 CU f ( ({-0C s . �
City State V7_ Zip 32- 25
,icense Holder (Print): , I � ., d p 6u
to Certification/Registration # ‘4. 703
notarized Signature of License Holder ZI,,Y, •1
Sworn and subscribed before me this( day of 20
Signature of Notary Public