Permit 702 Aquatic Dr plumb 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001600 Date 1/26/11
Property Address . . . . . . 702 AQUATIC DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE 10 FIXTURES
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Owner Contractor
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FOUR M FAMILY TRUST STEEG PLUMBING
C/O HARRY MESHAW 1601 MAIN STREET
702 AQUATIC DRIVE ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPIPE 10 FIXTURES
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/25/11
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DEPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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: '7-10- ,2 A26a7:111L PERwr.11-'Irois
f/
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FixrupE QTY TYPE OF FixruRE 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 FvcruRE QTY TYPE OF FixruRE Q.Ty
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:
* Sewer Replacement o Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plaw
* Lawn Sprinkler System-Number of Heads Ei Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fwal 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 re,
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 specifle(
or not. The permit does riot give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name AAA4'"
Phone Number
Plumbing Company '-src' Office Phone 9'/'FJ_/9/_Fax 9V-01-3fe
Co. Address: 416P city State f/_Zip 3"-11
A
License rja State Certification/Registration#CJWO,;� 4�
ff 00 534126
Notarize ro
.-7
Sworn and s scrib d re ry14t .s ddAAYV of 2(�/
Signature of Not lie