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Sewer Permits Main Street 2011 6 4 ,w °, CITY OF ATLANTIC BEACH f , �' ; 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 . INSPECTION PHONE LINE 247 -5826 'N, '''.'---- 1 1 319 ` `' Application Number 11- 00001971 Date 4/22/11 Property Address 796 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA, PETER 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 . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. 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 authors to violate the provisions off a any other state or local law regulation construction or the performance of construction. l Property Owners Name ex J '_, * Phone Number 3,94/ - 04. oS' Plumbing Company g MJ R /95 H f 4/41 /kffice Phone o 7(0 0° ? O55' FaxaC. "O /izi Co. Address: / /5O/ (taro gig- ,QR K w a2mf City S/4 State re- Zip 3a-?5 5 License Holder (Print): Atti � � [ ' ate Ce ' c ' n/Registration # r Fe. 057/71 f o nature Si Notarized License Holder z Signature O tµ Y p 4 � Notary Public State of Florida Sworn and subscribed before me this � l S day of APR IL 20 It : . Paul R Bagby gaL-4QGcAn64-- ,c �� M Commission EE042408 Signature of Notary Public r t PLUMBING PERMIT APPLICATION i L CITY OF ATLANTIC BEACH 0' i r 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 7 ! 6 '` _Mg' inlet/A) 5 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 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 MISCELLANEOUS: >. Sewer Replacement ❑ Back Flow Preventer Li Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System- Number of Heads Li 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. 1 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 authorit to violate the provisions of a ny other state or local law regulation construction or the performance of construction. Property Owners Name i 6 5111 Phone Number 3,04/ - ex. d 9 Plumbing Company ga-Aal R /` 5 /1 Re/ , 't&hOffice Phone Geo 7 0 5? FaxaZ C> — O /L' Co. Address: 115 0/ £l L✓1p! /tee AR K 4/ v?Ol. City 3/'g'JG State re_ Zip 3,R.?S `d License Holder (Print): Attila — Pi [ ' ate Ce ' c • n/Registration # r FC 057 /7J Notarized Signature of License Holder i O1►pY p ke Notary Public State of Florida Sworn and subscribed before me this egl S day of Awl,— 20 f : ` Paul R Bagby ^"-' ta (\ c • M Commission EE042408 Signature of Notary Public � ',or rLo Expires 01/23/2015 BP200I01 CITY OF ATLANTIC BEACH 4/22/11 Application Inquiry 10:16:48 Application number : 08 00001523 Application status, date . : CERT. OF COMPLETION 4/09/10 Property : 796 MAIN ST RE number. . . . . . . . . : 170942 -0050 - NCR OLD ACCOUNT NUMBERS. . : AB12505 Zoning : TBU TO BE UPDATED Application type : ADSW Z -ADV PMT -SEWER IMPACT FEE Application date : 11/19/08 Tenant number, name . . . : Master plan number, rev'wd by: SLG Estimated valuation . . . . : Total square footage . . . : 0 Public building : NO Work description, qty . . : Pin number : 694246 Application desc : SEWER IMPACT Press Enter to continue. F3 =Exit F5 =Land inq F7 =Appl names F8= Tracking inq F9 =Bond inquiry FlO =Fees F11= Receipts F12 =Cancel F13 =Val calcs F14 =Misc info F24 =More keys .. prok ....‘ , CITY OF ATLANTIC BEACH t ILAIV:o . ,,.�... � ATLANTIC BEACH, FL ROAD J INSPECTION PHONE LINE 247 -5826 4. oi319' Application Number 11- 00001972 Date 4/22/11 Property Address 798 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA ROLLAND REASH PLUMBING . 798 MAIN STREET 11501 W COLUMBIA PARK DR #208 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260 -7059 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 1 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 2 77 /414//0 _7 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 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 MISCELLANEOUS: X Sewer Replacement [1 Back Flow Preventer n Grease Interceptor (Trap) gallons (Requires 3 sets of plans) [ 1 Lawn Sprinkler System- Number of Heads 11 Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** r - i 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 he complied with whether specified or not. The permit does not give authorit to violate the provisions of other state or local law regulation construction or the performance of construction. Property Owners Name / " c f e• .5.1 ti / 4 ` Phone Number 3 y -ex-09 Plumbing Company (eC.L 4A D R /1 itbni Office Phone at-- 7'O 7 Faxa6,6 - C. , 7 /, Co. Address: //50/ t1L✓ -n gilt AR k W 20 City 371 kL State re_ Zip 3.,?.?5 5 License Holder (Print): Ro Lt./1/1_4 e ll / 7/ ate Ce • c • n/Registration # ( FF C57 Notarized Signature of License Holder o `Y ^ Notary Public State of Florida Sworn and subscribed before me this ) Si- day of APR IL, 20 I ( Pauf R Bagby ;c am My Commission EE042408 Signature of Notary Public �A ' tor no Expires 01/23/2015 ()f BP200I01 CITY OF ATLANTIC BEACH 4/22/11 Application Inquiry 10:17:06 Application number . . . . . : 08 00001528 Application status, date . . : CERT. OF COMPLETION 4/09/10 Property : 798 MAIN ST RE number . . . . . . . . . : - - - NCR OLD ACCOUNT NUMBERS. . : AB12506 Zoning : TBU TO BE UPDATED Application type : ADSW Z -ADV PMT -SEWER IMPACT FEE Application date : 11/19/08 Tenant number, name . . . : Master plan number, rev'wd by: SLG Estimated valuation . . . . : Total square footage . . . : 0 Public building : NO Work description, qty . . : Pin number : 366256 Application desc : SEWER IMPACT Press Enter to continue. F3 =Exit F5 =Land inq F7 =Appl names F8= Tracking inq F9 =Bond inquiry F1O =Fees F11= Receipts F12 =Cancel F13 =Val calcs F14 =Misc info F24 =More keys i v`' a 64 a : CITY OF ATLANTIC BEACH ..' , :.,, ...-1/44 ..:-., 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J ` INSPECTION PHONE LINE 247 - 5826 Application Number 11- 00001976 Date 4/22/11 Property Address 800 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA, PETER C. 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 . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: e - 3 /n, /W / f' E� 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 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 MISCELLANEOUS: Sewer Replacement ❑ Back Flow Preventer n Grease Interceptor (Trap) gallons (Requires 3 sets of plans) L] Lawn Sprinkler System- Number of Heads l Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** r J 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 7 7e S/ the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name / , /' /9 Phone Number , -? /— c D, Plumbing Company RLU4Np griA I I Lt ( \f3t'&iCr- Office Phone c360- 7a 9 Fax ca.n - 07/t Co. Address: //5 CO (.1 Iff / A W � kJ ° Z O 15 -- City it State FL- Zip .307,2 License Holder (Print): ! `m ttA,V0 RG/95 tate /Registration # C FC'57/7/ / i Notarized Signature of License Holder i t c p ue. Notary Public State of Florida Sworn and subscribed before me this d, 1 5 T day of II PA I L 20 // ` PaulR Bagby /2 A � � A l � My Commission EEOa2408 Signature of Notary Public civ for no Expires 01 /23/2015 BP200001 CITY OF ATLANTIC BEACH 4/22/11 Application General Information 10:27:14 Type information, press Enter. Application number : 08 00001536 RE number : 170942 -0000 - Post Number Pre Qual Dir Street Name Sfx Dir Qual Apt Address 800 MAIN ST Zone code (F4) . . . . TBU TO BE UPDATED Application date . . . 111908 Application type (F4) . ADSW Z -ADV PMT -SEWER IMPACT FEE Application status (F4) CC CERT. OF COMPLETION Application desc . . . SEWER IMPACT Total est value . . . . Tenant number /name . . Total square footage . Public building flag . _ 1= Public, Blank = Private Master plan number . Application group (F4). F3 =Exit F4= Prompt F5 =Land inquiry F6 =Val'n calcs F7= Square footage calcs F8= Street name inquiry F9 =work description F1O =View 2 F12 =Cancel ... rj 1,:v ;/' r, � cy ° „ , CITY OF ATLANTIC BEACH -v ., 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 -Ji31 Application Number . . . 11- 00001977 Date 4/22/11 Property Address 830 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA, PETER C. 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 . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: -- V" 3 cO / %X) ST4 E &r 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 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 MISCELLANEOUS: tol. Sewer Replacement ri Back Flow Preventer r Grease Interceptor (Trap) gallons (Requires 3 sets of plans) Fl Lawn Sprinkler System- Number of Heads ti 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 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 ' / TE 5 / ?, f Phone Number , e6 e Plumbing Company P t� D 1 ft p L 1, 13 `+JG -- Office Phone j,(40 7�i, i 9 Fax 024 0 �' /6 Co. Address: //5 Oi eea� ar�+^U> py1�� 1) w act- City 04 $ State F zip License Holder (Print) Rc tate y .. /Registration # c FC 6 7/7/ Notarized Signature of License Holder Am, Sworn and subscribed before me this : 1 5 day of I1 Pi I L. 20 /1 81/410 1 'N Notary Public State of Florida t` M c m s EE Signature of Notary Public f ' /� f or no Expires 01/23/2015 BP200U01 CITY OF ATLANTIC BEACH 4/22/11 Application General Information 10:27:35 Type information, press Enter. Application number : 08 00001540 RE number : 170942 -0000 - Post Number Pre Qual Dir Street Name Sfx Dir Qual Apt Address 830 MAIN ST Zone code (F4) . . . . TBU TO BE UPDATED Application date . . . 111908 Application type (F4) . ADSW Z -ADV PMT -SEWER IMPACT FEE Application status (F4) CL CLOSED Application desc . . . SEWER IMPACT FEE Total est value . . . . Tenant number /name . . Total square footage . Public building flag . _ 1= Public, Blank= Private Master plan number . Application group (F4). F3 =Exit F4= Prompt F5 =Land inquiry F6 =Va1'n calcs F7= Square footage calcs F8= Street name inquiry F9 =Work description F10 =View 2 F12 =Cancel . . °, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001974 Date 4/22/11 Property Address 831 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA 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 . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: � 3/ - : p—' tiJ 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 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 MISCELLANEOUS: XSewer Replacement ❑ Back Flow Preventer Li Grease Interceptor (Trap) gallons (Requires 3 sets of plans) Li Lawn Sprinkler System- Number of Heads L 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 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 violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name authority /EX .mil / 4" Phone Number ©y Ue. O Plumbing Company AL K 5N P4066/1114-Office Phone x O — 7b52' Fax oRC,0 Co. Address: //50/ c.e.,„ ,�/ 3�1L ,o4 1" c O& City TA-X State rc. Zip j .2,2,5 License Holder (Print): 6 a i 'V / to Certi cation/Registration # C'67/71 Notarized Signature of License Holder ; P1 44, Notary Public State of Florida Sworn and subscribed before me this 31 ST` day of ,23 l.. 20 11 Paul ir res R Bagby tbj Q J.1, of p .? Expi Ot /23/20E 5 �24 0t1 Signature of Notary Public BP200U01 CITY OF ATLANTIC BEACH 4/22/11 Application General Information 10:23:48 Type information, press Enter. Application number : 08 00001586 RE number : 170944 -0020- - Post Number Pre Qual Dir Street Name Sfx Dir Qual Apt Address 831 MAIN ST Zone code (F4) . . . . TBU TO BE UPDATED Application date . . . 111908 Application type (F4) . ADSW Z -ADV PMT -SEWER IMPACT FEE Application status (F4) CL CLOSED Application desc . . . SEWER IMPACT Total est value . . . . Tenant number /name . . Total square footage . Public building flag . _ 1= Public, Blank= Private Master plan number . Application group (F4). F3 =Exit F4= Prompt F5 =Land inquiry F6 =Va1'n calcs F7= Square footage calcs F8= Street name inquiry F9=Work description F1O =View 2 F12 =Cancel pv",4 CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001975 Date 4/22/11 Property Address 835 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER Owner Contractor SAPIA ROLLAND REASH PLUMBING . 835 MAIN STREET 11501 W COLUMBIA PARK DR #208 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260 -7059 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 4 VSI - 8 5 / `J s r 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 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 MISCELLANEOUS: r%Sewer Replacement Back Flow Preventer Li Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System- Number of Heads ri 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. 1 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 authorit violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name !r I i t Pin Phone Number 205 Plumbing Company xg(,LI -J A Pt//-Office Phone o O -- 7C- ? Fax - O 74 Co. Address: / /t5 ) f Co66/rnhe A4e lii4 020.5' City .7 ±x State n. Zip License Holder (Print): 6 t-t- A "V to Certi cation /Registration # c .C- 6 717/ Notarized Signature of License Holder as e Y P tit, Notary Public State of Florida Sworn and subscribed before me this �� ( Sr da of r Y- .l l_ 20 I 14 Paul R Bagby .1 b My Commission EE042408 Signature of Notary Public Ct 4X ,-(:- LC- 'tor Ro Expires 01/23/2015 1" BP200U01 CITY OF ATLANTIC BEACH 4/22/11 Application General Information 10:24:36 Type information, press Enter. Application number • : 08 00001586 RE number : 170944-0020- - Post Number Pre Qual Dir Street Name Sfx Dir Qual Apt Address 831 MAIN ST Zone code (F4) . . . . TBU TO BE UPDATED Application date . . . 111908 Application type (F4) . ADSW Z-ADV PMT-SEWER IMPACT FEE Application status (F4) CL CLOSED Application desc . . . SEWER IMPACT Total est value . . . . Tenant number/name . . Total square footage . Public building flag . _ 1=Public, Blank=Private Master plan number . . Application group (F4). F3=Exit F4=Prompt F5=Land inquiry F6=Va1 'n calcs F7=Square footage calcs F8=Street name inquiry F9=Work description FlO=View 2 F12=Cancel < CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD Jf ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001970 Date 4/22/11 Property Address 851 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEWER REPLACEMENT Owner Contractor SAPIA ROLLAND REASH PLUMBING . 851 MAIN STREET 11501 W COLUMBIA PARK DR #208 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260 -7059 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/19/11 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 F57 JOB ADDRESS: p 5 7 (4 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 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 MISCELLANEOUS: Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) Li 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 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 0 /� / ' authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 1 it 6 i of f+ Phone Number 3(941-06 Plumbing Company /f L ,uD i� 5 # PL w na tOffice Phone .:R60 Fax (o C' - /1 Co. Address: / /50/ P R _ I. h, .City Tit )C State rt Zip 34' 55 License Holder (Print): ROLL/ _ . tate ific. 'on/Registration # FC 657/7/ Notarized Signature of License Holder Sworn and subscribed before me this oki sT day of t IL 20 I( o t►RY Nit_ Public State of Fl My Paul EE042408 R Bagby orida Signature of Notary Public Oti I� 4 ` M or M1 Expires 01 /23/2015 BP200I01 CITY OF ATLANTIC BEACH 4/22/11 Application Inquiry 10:15:57 Application number : 08 00001541 Application status, date . : CLOSED 6/01/09 Property : 851 MAIN ST RE number. . . . . . . . . : 170944 -0010- - NCR OLD ACCOUNT NUMBERS. . : AB12358 Zoning : TBU TO BE UPDATED Application type : ADSW Z -ADV PMT -SEWER IMPACT FEE Application date : 11/19/08 Tenant number, name . . . • Master plan number, rev'wd by: SLG Estimated valuation . . . . : Total square footage . . . : 0 Public building : NO Work description, qty . . Pin number : 113482 Application desc : SEWER IMPACT Press Enter to continue. F3 =Exit F5 =Land inq F7 =Appl names F8= Tracking inq F9 =Bond inquiry F1O =Fees F11= Receipts F12= Cancel F13 =Val calcs F14 =Misc info F24 =More keys