Permit 2001 2003 Park Street Plumb 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001443 Date 12/21/10
Property Address . . . . . . 2001 PARK ST
Tenant nbr, name . . . . . . 2003
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10360
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Application desc
REMOVE WALLS AND REMODEL BATH FOR HANDICAP ACCESS
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Owner Contractor
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JACKSONVILLE HOUSING AUTHORITY 3RD LITTLE PIG CONTRACTOR
1300 BROAD STREET 5078 YERKES ST
JACKSONVILLE FL 32202 JACKSONVILLE FL 32205
(904) 318-7777
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . MCGEE PLUMBING, INC.
Permit Fee . . . . 76 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/19/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE ,
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 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: '1L 0 0 �S3 4 S 1� PERMIT#
NEW OR REPLACEMENT INSTALLATION: ProjectValue $_ 1,400,0�
TYPE oF FixTURE QTY TYPE oF FWUR� 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 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:
El Sewer Replacement El Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
0 Lawn Sprinkler System-Number of Heads Ei Well
**SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.
El 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 t e provi i s f any other staW or local law regulation construction or the performance of construction.
Property Owners Name 'sjw0S'(/"', fi(Ad(' Phone Number
Plumbing Company h Office Phone 311 Fax
Co. Address: q 13 -7 (A vi City State
I IL zip
License Holder(Print): �b 0,11 An j State Certification/Registration C E6 1 Y2.0
Notarized Signature of License Holder SHIRLEY L Q
MY COMMISSION#DD
Swom and subscribed befor :XPIR 20/6
Signature of Notary Pub