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Permit 297 Seminole Rd 2011 closet CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 3 2 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001572 Date 2/03/11 Property Address . . . . . . 297 SEMINOLE RD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc ADDITION CLOSET ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SLOAN, SUSANN TRADEMARK CUSTOM HOMES 297 SEMINOLE ROAD 6445 COUNTY RD 208 ATLANTIC BEACH FL 32233 ST AUGUSTINE FL 32092 (904) 424-9332 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . CHANGE TUB TO HANDICAPPED SHOW Permit Fee . . . . 76 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/02/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W12009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container Company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76 . 00 76 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Gr PERMIT IS APARVEJM�N ACCORDANCE WIT&OALP�ITY OF ATLtalCo REACH ORDINANCE9(A)ND THE FLORIUFAO 0 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: c;2 !Z1 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF Fixmpm 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: 11 Sewer Replacement Ei Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads o 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. Phone Number Property Owners Name Plumbing Company _Z4&,64 e 4�� Office Phone F7,11&;,17f ax_�E�14� Zip *!rZ 7 Co. Address: &zg- t1r<e_11j!fa-1_ City State,��- ',p?L License Holder(Print): ell State Certification/Registration 4. �OZ7 Notarized Signature of License Ider �t - I f Sworn and subscribed before me is -nd day of Ff,41-)YQ64 rCA 2011 �#Iky P(Ao % Notary Public State of Florida Hollis Stinson Signature of Notary Publi my Commission MUM Expires 09/29/2014 Roi 1 2K 1