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Permit Sewer 800 831 Main St 2011 r $ joy",,, �' CITY OF ATLANTIC BEACH =' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 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 -g- / ht, J 7 ' &T 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: tit Sewer Replacement ❑ Back Flow Preventer r_1 Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ii Lawn Sprinkler System- Number of Heads r 1 Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** 1. 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 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 OF icTE7 ' .5 Phone Number , ?e -O. D f? Plumbing Company f t Lam'' D IZfz'AS ft P L OIN f3 t&JCr- Office Phone a- to O - 76,5 9 Fax 02‘ - O7 / Co. Address: //5 C04_04)-80- PA bk w o0 City 3 K State r4- Zip 3 6Q. '$ License Holder (Print): g m CLA R G ! 9 . 5 tate _ .. Registration # C FC°57/7/ Notarized Signature of License Holder ,.... "or "4� Notary Public State of Florida Sworn and subscribed before me this 2C I S T day of (4 Notary L 20 // `�' Paul R Bagby My �o ExPCes ommission 01/23/20E5042408 Signature of Notary Public 4._..e /2 8a94.,_ 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 =Va1'n calcs F7= Square footage calcs F8= Street name inquiry F9 =Work description F10 =View 2 F12 =Cancel ff . 4 ` , CITY OF ATLANTIC BEACH Yi j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 44 0E19' 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: 3 0 /WA- /it) , 5'7 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: . Sewer Replacement ri Back Flow Preventer r i Grease Interceptor (Trap) gallons (Requires 3 sets of plans) n Lawn Sprinkler System Number of Heads r_i Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** 1 1 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 OF /27 5/ Phone Number 363 -/—O6 !' " Plumbing Company ?toLlAN' D 1217.4E+1- ID L kih 6 mxt- Office Phone 4 t0 0 7659 Fax 074'49 __ 07/6 Co. Address: 1/501 C0L ✓r+v'B MAK bR w °Znff City 0 State F -zip 3:,Q4, License Holder (Print): /�mCL�ti 1 tate y a . /Registration # CFC''".`37 /7 Notarized Signature of License Holder "" _I t Notary Public State of Florida Sworn and subscribed before me this 1 s day of 1 1 Pi I l.. 20 /1 tc- Paul R a Ex Commission sby i o n Com 1 / / EE042408 Signature of Notary Public X/ no Expires 01/23!2 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 =Val'n calcs F7= Square footage calcs F8= Street name inquiry F9 =Work description FlO =View 2 F12 =Cancel