Permit 871 Ocean Blvd PLUMB 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001579 Date 1/21/11
Property Address . . . . . . 871 OCEAN BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 FIXTURE
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Owner Contractor
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BOOTH, GEORGE A. WATSON MAINTINENACE SER.CO.
871 OCEAN BLVD. 4456-02 SUNBEAM RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 899-6840
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/20/11
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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 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.
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address:_27 I OC2,avL�A
Owner: WPX,S0iS VV,0912�sA C��s�AC-§-N%Aelephoneu:
Contractor: Telephon'e T� 3 7
Contractor Address-.A�(o Fax 9JA7
Contractor Signature:
In consideration of permit given for doing the work as described in tl)�*ove statement, vic hereby agree tu perform said work in
accordance with the attached plans and specifications which arc a ereof and in accordancewiththe City of Atlantic Beach
ordinance and standards of good practice listed therein. IV
Installation of plunibiaS mid fixtures must be in accordance with thc most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other constniction is being done on this building or site,
0 New list the building permit number:
0 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: $ DO
Total Fixtures: X$7.00 + SS006-
800 Seminole Road-Atlantic Beach,Florida 32233-6445
Phone: (904) 247-5800 - Fax: (904) 247-6845- http://Www.ci.atiantic43each.fl.us
Revised 1/04
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