Permit Plbg 320 7th St. 2011 $ `) CITY OF ATLANTIC BEACH .0. , ,,N.
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001685 Date 2/17/11
Property Address 320 7TH ST
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
8 fixtures
Owner Contractor
JONES ADVANTAGE PLUMBING
320 7TH STREET 880 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247 -9848
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 111.00 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 111.00 111.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 115.00 115.00 .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: 320 11
PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value
TYPE OF FIXTURE $
Q TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank & Pit
Dishwasher Shower ---
Drinking Fountain Shower Pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
Water Treating System
RE -PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer —I-- - Septic Tank & Pit
Dishwasher ___L___ Shower
Drinking Fountain Shower Pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet - 2--
Kitchen Sink Urinal --
Laundry Tray — Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures - Water Heater _I____
Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) allo
❑ Lawn Sprinkler System - Number of Heads g ns (Requires 3 sets of plans)
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ 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.
Property Owners Name 4 1 A - r
Phone Number 2
Plumbing Company , 41 - j - ii • : ��
■
.. l Office Phone 9 t _ ■ . Fax 2
Co. Address:
C 1 : . JO — 2 City - �1� � ekh State � (Zip_�____`�
License Holder (Print): . . •
� State Certification /Registration #ere/(
Notarized Signature of License ' older � 1 r� ��i
, '�e+"''' MICHELLE L CREWS Sworn and si .scribed before me thi§ � da of r i t *. : *? MY COMMISSION # EE037670 i `� , 20
EXPIRES October 26, 2o�a Signature of Notary Public r ` 0 111 a
)(or) 398 0153 FloridallotaryServico.com