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Permit 1721 Sea Oats Dr Plumb 2011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ----------------------- ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001565 Date 1/19/11 Property Address . . . . . . 1721 SEA OATS DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SEWER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CROWLEY, DANIEL TDG PLUMBING 1721 SEA OATS DRIVE 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 545-7341 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/18/11 ---------------------------------------------------------------------------- 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 . 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 ADDRIESS: 3e', 0'�'- ro r'— PERNUTH NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF FIXTURE QTY TYPE oF Fix7vRE 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 FLYTuRE 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 M11§!C:ELLANEOUS: fnewer Replacement D Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) r-1 Lawn Sprinkler System-Number of Heads Ej Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." Ei 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 M6 CPowley Phone Number Plumbing Company F 'IA Office Phone Co. Address: HL4)�� State FL Zip License Holder (Print): CA.,/%e State Certification/Registration#C F- -1 t r Notarized Signature ofLicense Holder V I: \) Swom and subscribed before me this—day of 20 Signature of Notary Public