Permit 1945 Beach Ave septic to sewer 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 11-00001567 Date 1/19/11
Property Address . . . . . . 1945 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 sm,
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Application desc
SEWER REPLACEMENT
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Owner Contractor
------------------------ ------------------------
MORGAN, WILLIAM C.W. WOOD PLUMBING
1945 BEACH AVENUE 1328 ROMNEY STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 744-6604
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/18/11
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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
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001570 Date 1/20/11
Property Address . . . . . . 1945 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SEPTIC TO SEWER
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Owner Contractor
------------------------ ------------------------
MORGAN, WILLIAM OWNER
1945 BEACH AVENUE
ATLANTIC BEACH FL 32233
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Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 1/20/11 Valuation . . . . 0
Expiration Date . . 7/19/11
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Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050. 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4050 . 00 4050 . 00 . 00 . 00
Grand Total 4050 . 00 4050 . 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:
Awc PERmrr#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FixTum QTY TYPE oF Fixmpm 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:
XSewer Replacement El Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
7 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.
11 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 C� Phone Number 7— V c/ -11Z-30
660 20
Plumbing Company 6— Office Phone 7:1'1 Fax 7 3 7
Co. Address: City X_ State/- Zip "?
License Holder(Print)- 'k, C 7-
.#e CQrtific ion/Registration#
Notarized Signature of License Holder i enn-
- 1 -1 1� iv-/V
ION#
Sworn nFleg ay%o 20
ftr6ed Thtu
Sign e
r
Graham Shirley
From: Kaluzniak, Donna
Sent: Wednesday, January 19, 2011 5:20 PM
To: Graham Shirley
Subject: RE: Septic to sewer
Shirley, there is already an existing tap, so only the SDC charge of$4,050—thanks, Donna
From: Graham Shirley
Sent: Wednesday, January 19, 20113:42 PM
To: Kaluzniak, Donna
Subject: Septic to sewer
I need a permit amount for changing from septic to sewer for 1945 Beach Ave ?
Thanks Shirley