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Permit Sewer 796 & 798 Main St 2011 - CITY OF ATLANTIC BEACH , %' 800 SEMINOLE ROAD '' Y ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 "'`4 X1313.1"' 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. ' PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 7 ?(- r 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: )4. Sewer Replacement ❑ Back Flow Preventer n 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. t 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 Any other state or local law regulation construction or the performance of construction. Property Owners Name % e 5" /I-1; Phone Number 3e, -04.09 Plumbing Company gf 4) Ret 8 l tior&4 ffice Phone 0 7620 - 7O5 Faxa60 --- l /b Co. Address: / /5df K W o?O City 5/g')G State re_ Zip 3 ?.?5 License Holder (Print): 0 CLiM-4D � tl H ate Ce • c • n /Registration # �, l'C 057/7/ Notarized Signature of License Holder Si 4:04; < �� Ne Notary Public State of Florida Sworn and subscribed before me this n�� day of �{�2 11., 20 11 , Maul s Bagby S- I y Commission EEOa2408 Signature of Notary Public ��/� -- Expirea 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 ,6" r : `4 CITY OF ATLANTIC BEACH '`' , 9 800 SEMINOLE ROAD J Z ATLANTIC BEACH, FL 32233 "` INSPECTION PHONE LINE 247 -5826 .401.119r 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 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: r 7 77 / ./ 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: >4. Sewer Replacement L I Back Flow Preventer ct Grease Interceptor (Trap) gallons (Requires 3 sets of plans) i Lawn Sprinkler System- Number of Heads r 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. 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 Any other state or local law regulation construction or the performance of construction. Property Owners Name e / •R 5.4 Fi /t- Phone Number 3G ' - ey, v 9 Plumbing Company gCL4 Rt' /I1 P/ '»i&ik ffice Phone 0 7600-• 70,5 5 Fax::26 c - u7 /k Co. Address: /6 C L.c/sn L?n AR k w to City jie - �G State re- Zip „34...?5 5 License Holder (Print): ,( O Lt //AZ - II f' ate Ce • c • n/Registration # ( Fe. oj7/7/ Notarized Signature of License Holder i = ,•► A YA Notary Public State of Florida Sworn and subscribed before me this 1 S day of / Pi 1 L 20 / f It Paul R Bagby f � ( 3 A (i.,69,-- o a Expires Commission Es042aoe Signature of Notary Public �r.- 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 FlO =Fees F11= Receipts F12 =Cancel F13 =Val calcs F14=Misc info F24 =More keys