Permit 158 S Oceanwalk Dr - 2001 plumb Apr 08 11 11 : 15a Susan Parrish 904-246-3673 P. 1
PLUMMING PERAM APPLICATION
CITY OF ATLANTic BE&CH
900.Semiwle Rd Atlautic�Beack FL 32233
04)247-5826 Fax(9G4)247-5945
JoB ADDRFm: ftamff
NEW OR REPLACFMNT INSTALTATION-. Project Value
TYPE 0,Ff&MARE (?77 IWE 0,FF1rMRE QTY
Bathtub SepticTank&?it
Clothes Washer Shower
Dishwasher Shower Pon
Drinking Fountain Slop Sink
Flom Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs urinal
Kitchen Sink Vacuum Breakers
1,aundry Tray Water Connected Appliances
Lavatory Water Heater
odw fludums Water Treating System
RE-PIPE:
TYPE oF FravRE Q77 2)?PEoFFDavRE QTY
Badrtub Septic Tank&Pit
Clodxs Washer shower
MhWasher ShowerPan
Drinldng Fountain Slop Sink
Ploor Drain Tbree Compariment Sink
Floor Sink Toilet
I-lose Bibs Urine
Kitchen Sink Vacuum Breakers
La%mdry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating S5Wem
bUSCELLAINEOUS'
o Sewer Replacement ;/Back Flow Preveater L]Gmase Interceptor(Trap) gallons(Requires 3 sets of plans)
o Lawn Spriolder System-Number of l9ea& 0 Well
**SAWD NeY Congdetion Fom. Comple-ted–Nm—to be submitted to th—c—Au—M—ing Department for fmal inspection."
El Other
Pcrmlit becomes void if work does not commmca vAWU a sLx mouth peded cir wo&is suspended or abando=d fbr six months.I hacby carrify that I him
this aPPl1=fi0n and know the same 10 be trw and emnot ALI provWms of laws md ardinnwes goveming dib work will be coxnptW witb wbeftier spezillod
or not nc pc=it does not give autholity vilt P1qVLq0.=of any W3 anft or 14xw law resuladon consbuctim or ft Pcrf0==cC of ronstmcLLOM.
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PropertyOwnersNa=_ �?AY , Phone Number
Plumbing Cromm"Pany Office Phone,2 V:J-
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Co.Addyess: state,&/ zipszal
City
License Holder(Print) IJK mr-dim on/Registmdon 5-0--:r�o
Notarized Signature ofLicense Holder
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Swom and subs6Li before me
Sigmature of Notary Public 4
Notary Public-State of Florida
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MY Comm.Expires Apr 15.2013
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COMMi35ion#DD 880911;
Bonded Through National Notary Asia.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001899 Date 4/08/11
Property Address . . . . . . 158 S OCEANWALK DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
back flow preventer
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Owner Contractor
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GYARMATHY, RAYMOND ATLANTIC COAST PLUMBING CORP.
158 OCEANWALK DRIVE 3653 REGENT BLVD #305
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 249-5381
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/05/11
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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.