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226 1st St 10-00001148 Plumbing CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD +} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001148 Date 9/21/10 Property Address . . . . . . 226 1ST ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 15 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCCRARY, CHARLES STEEG PLUMBING P.O.BOX 51037 1601 MAIN STREET JAX BEACH FL 32240 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 160 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 160 . 00 160 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC IIEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATM� ' CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 SOB ADDRESS: �� `'07, IgERNIIT NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FrxT uRE QTY TYPE of FIXTURE pT y Bathtub Septic Clothes Washer Tank&PitShowe Dishwasher rShower Pan Drinking Fountain 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 QTY Bathtub �_ nib Septic Tank&Pit Clothes Washer 1/ �( Shower Dishwasher G Shower Pan Drinking Fountain Floor Drain Slop Sink Floor Sink J�� Three Compartment Sink Hose Bibs Toilet UrinalKitchen Sink �`- Laundry Tray —�--- Vacuum Breakers Water Connected Appliances Lavatory Water Heater Other Fixtures �---- 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 ** **SJR WD 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 1 have re, 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 specifies 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 C ` Phone Number Plumbing Company 5trrA h Office Phone2 �, 77 9/ Fax,;2 Co. Address: City State Zip License Holder(Print): Tisa State Certification/Registration Notarized Signature ©f License Holder wo d Subscri before me tips day of �1.���se,of I�Iot�Y public