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Permit Plbg 1147 W Linkside Ct 2011 CITY OF ATLANTIC BEACH 4-' 800 SEMINOLE ROAD r ' - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 �J3f19 Application Number 11- 00001881 Date 4/06/11 Property Address 1147 W LINKSIDE CT Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 13 fixtures Owner Contractor LOVING, WALTER L. ROLLAND REASH PLUMBING . 11501 W COLUMBIA PARK DR #208 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260 -7059 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 146.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/03/11 Other Fees STATE PLBG DCA SURCHARGE 2.19 STATE PLBG DBPR SURCHARGE 2.19 Fee summary Charged Paid Credited Due Permit Fee Total 146.00 146.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.38 4.38 .00 .00 Grand Total 150.38 150.38 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: JINr( GIrJKSiDE CT CO off.rovvnt_ i ti4cl+ FL, 3aa33 PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ 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 RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub a Septic Tank & Pit Clothes Washer t Shower i Dishwasher I Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet a Hose Bibs o 't Urinal Kitchen Sink I Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory ? Water Heater I 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 ** ** 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 1 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 t ,O (Zl L ©v i N G Phone Number 1 710- 009(o Plumbing Company I?O L rrvp 4 41A%1-1 PLUMB I NCr Office Phone ato0 - 905 . 9 Fax A4)-0 q 1 (0 Co. Address: Ii SA CoLvA11,tA P4ak 0R. W. 4 4 D City K atr lt 1 ILLE State FL Zip 3P -'S'$ License Holder (Print): � e / , fir t. e Certification/Registration # Cre ©.S7('1 / Notarized Signature of License Holder Sworn and subscribed before me this (o r day of PiPP. f L 20 t 1 „or PO4,_ Notary Public State of Florida Signature of Notary Public teLe Q Aci,5 Paul R Bagby ' C My Co mmissbn 7:'"" 'tor n Exp 01/23/2015