Permit 1850 Mealy St 2011 plumb 4r
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001666 Date 2/10/11
Property Address . . . . . . 1850 S MEALY ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
9 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SCOTT ARTISTIC DESIGN EAGERTON PLUMBING CO.
1850 MEALY STREET 1093 N. MCDUFF
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
(904) 388-0761
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 118 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/09/11
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 118 . 00 118 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 122 . 00 122 . 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: /6,50 14eqJL4 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $ ��719C
TYPE oF FrxTuRE 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
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:
F1 Sewer Replacement o Back Flow Preventer o Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads 11 Well
SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.
F-1 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 stat)e �,cal law regulation construction or the performance of construction.
Property Owners Name r Phone Number
Plumbing Company_4 ttqr'c-A&V floce (1,14 Office Phone 4ib$4399,,�)7
a 6 Yax
Co. Address: 3 1'n�D14 StateR, Zin RZ-511
/V _f7 city J!u I -------------== f
License Holder (Print): 4.pnn 6 r`bw State C ification/Registration gaC 1 q,2 b 3eq
Notarized Signaturc of License Holder
FIRMI L W-MES Sworn and subscribed before me this day of 20j]
002479
My COMMISSION#EE
EXPIRES:June 20,2014
Public UrAwwdtM Signature of Notary Public
_q� kr� r)1, oe P0byyLA_"5
&wKWTIvuNotary