The URL can be used to link to this page

Permit Plbg 2087 Vela Norte 2011 ,i *r d e ri 6\ „ , a CITY OF ATLANTIC BEACH s} 800 SEMINOLE ROAD J V " a.z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 bf e Application Number 11- 00001693 Date 2/17/11 Property Address 2087 VELA NORTE CIR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 fixture Owner Contractor ROSE, MS. ATLANTIC COAST PLUMBING CORP. ATLANTIC BEACH FL 32233 3653 REGENT BLVD #305 JACKSONVILLE FL 32224 (904) 249 -5381 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee .00 Issue Date Valuation . 0 Expiration Date . . 8/16/11 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 66.00 66.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb 17 11 04:18p Susan Parrish 904- 246 -3673 p.l PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH • S00.Seminole Rd Atlantic Beach, FL 32233 Ph ( -5826 Fax (904) 247 -5845 JOB ADDRESS: , © ` 1 -g /I'7 r - /03 NEW O PLA 1 tr INSTALLATION: Project Value S TYPE OF FIXIVRE Q27 TYPE OF.Fner p Bathtub QTY Clothes Washer Se[ Tank $ Pit Dishwasher Shower Shower Pan Floor inga Fountain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sisk Urinal Laundry Tray, Vacuum Breakers O vats, Fixtures Water Heater Appliances _ Water Treating System _____ RE -PIPE: TYPE Bathtub FOOT= T'1'PEOFFOYTUIIE Qrr Clothes Washer Septic Tank &Pit Dishwasher Shower Drinking Fountain Slap 5 Sho Si Pan Floor Drain Floor Sink Three Compartment Sink Hose Bibs Toilet Kitcheen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Waiter Connected Appliances Other Fixtures Water Heater Water Treating System NIISCELLANEOUS: O Sewer Replacement o Back Flow Preventer 0 Grease Interceptor (Trap) gallons o Lawn Sprinkler System ber of Heads (Be9ale es 3 acts of plans) ** SIRWD Well Completion Form. Completed form to be submitted o the B0di t DepartlneEf for final inspection. ** D Other • Permit becomes void if work does not eaa�meaee within a six m this application and know die smote be taus and eon= All 1 or work is suspended or abandoned for ill be months. thereby with that 1 p have read or not The application does not Oro authority u violate the provisions *flaws and ordinate's seventh :1g than work will be complied with wbet1xt Provisions of nay other store or local law regulation construmion or the performance of Perty Owners Name r� s li' construction. / Phone Number �/' 134 Plumbing Company 4 � /V ► .C: ' nS � • An � � �' � n Address: O ffice Phone � �' 7 -, j,, ��Fax t� �� V a City ‘.7:47,t- steeta;, zi ..2 License Holder (Print): NI P : S - . Certification/Registration # ( 53 Notarized Signature of License Holder j and subs before me / .. day '' • _ Y of �,� 6 20 /� Signature of Notary Public '!�___ � f .!: A' S ly, I .� Notary Public - state of Roada ;a a v My Comm. Expire Apr 15 2013 "' . . .,- . _ Commission # 00 8 8onded ihro 80yts uQh National Notary Assn.