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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