Permit Plbg 2239 Fairway Villas 2011 l ' I ca
, _ , CITY OF ATLANTIC BEACH
J 1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001709
Property Address 2239 N FAIRWAY VILLAS LNDate 2/23/11
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation
• 1500
Application desc
REPIPE
Owner
Contractor
ANCHETA, ERNESTO EVERYBODY'S PLUMBING CO
2239 FAIRWAY VILLAS LN
11880 CLET HARVEY RD
ATLANTIC BEACH
FL 32233 GLEN ST. MARY FL 32040
(904) 237 -9164
Permit W /W /O PLUMBING PERMIT
Additional desc . REPIPE 13 FIXTURES
Permit Fee . . . 292.00 Plan Check Fee
Issue Date .00
Valuation 0
Expiration Date .
• 8/22/11
Special Notes and Comments
DOUBLE PERMIT FEE, UNLICENSED MAN ON
JOB
Other Fees STATE PLBG DCA SURCHARGE
STATE PLBG DBPR SURCHARGE 4.38
4.38
Fee summary Charged Paid
Credited Due
Permit Fee Total 292.00 292.00
Plan Check Total .00 .00
Other Fee Total .00 .00 .00 .00
8.76 8.76 .00 .00
Grand Total 300.76 300.76
.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: c 21 - 6,t r L Pr V t 1 145 jorii,. �ZZ,I
3 PERMIT # //' l /
1D
NEW OR REPLACEMENT INSTALLATION: Project Value $ I Soo '
TYPE OF FIXTURE
Q� TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer __ Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain
Time Compartment Sink
Floor Sink Toilet
Hose Bibs Irk, Urinal
Kitchen Sink -4- 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 3
di
Urinal
Kitchen Sink
Laundry Tray 1 Vacuum Breakers
Lavatory 3 Water Connected Appliances
Other Fixtures Water Heater L
Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System - Number of Heads ❑ Well **
** SJRWD Well Completion qrm. Completed form to be submitted to the Building Department for final inspection. **
❑ Other C
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 � ", . ,, M %S Piormit.
\Nt.:61- Phone Number iA4 - !&z- ,23 `3 �.
Plumbing Co any .4' l»,r.!o 1 u
�"( ^�j �U N L Office Phone Sck a3 -1'S i4�( Fax / 3
Co. Address: City (C'+JS St ate �" Zi 3
1 p2040
License Holder (Print): ft - : W • _ tate Certification/Registration # (�FUI(ts t
f , �, a !� , - / s. r . 7 fr i
Notarrz IV , n
i,-, : : it . :.1. MY COMMISSION .# DD 634126 �c-bL
S orn an d su bscribed before t i
, ? `?,, EXPIRES: May21, 2011 z day f 20 #
9onded Th in Notary Punk Underwriters
- ---- '-_nature of Notary Public
Gt,63 2-k s 7E z9 VV
Compliance Investigation Form
Investigation # Date of Request: Z/ 2 �/ q
q Time of Request: / 2- ' 3
Name of Person Making Request:
Address: Phone #
Investigation Type:
UO
5ah9
Location (Address) of Violation: 2Z 3/ (/'
Phone Number: Property Owner/Manager:
Request Taken by: Investigator: M. ` o4 e S 2/2 z/ It
Action Taken: 1-n S C f 06.Q ck II
b-e i Vt. ojn r ► c ti , , 4 ti h V + P-e wv , 0S/ Pd S (Ai o rz_ k o rr.! "e y ,
Compliance: Pu /I 7 16:o p. rw.; by e,^ sec/ plovr, IQ'
Legal Description: RE #:
F: \Code Enforcement \Compliance Investigation Form.doc
Oct 9 2009