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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, ---------------------------------------------------------------------------- Application desc SEWER REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MORGAN, WILLIAM C.W. WOOD PLUMBING 1945 BEACH AVENUE 1328 ROMNEY STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-6604 ---------------------------------------------------------------------------- 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. 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 ---------------------------------------------------------------------------- Application desc SEPTIC TO SEWER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MORGAN, WILLIAM OWNER 1945 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/20/11 Valuation . . . . 0 Expiration Date . . 7/19/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050. 00 ---------------------------------------------------------------------------- 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