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Permit Sewer 831 835 Main 2011 - f i'- " L ' J;r -ri:: y CITY OF ATLANTIC BEACH r . - �; ? r 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 -5845 JOB ADDRESS: - = l "'f J 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 L] 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. 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 e / Phone Number Plumbing Company kt.i J P4066/Ale-Office Phone 0260 -7b5? Fax o2(Av /40 Co. Address: //5O( Ct , 4 ,A4e 12 k) on* City 174, c State r� Zip License Holder (Print): gal A it/D RE r+ to Certi cation /Registration # CFC. 067/ 7/ Notarized Signature of License Holder =D � � Y ° Notary Public State of Florida Sworn and subscribed before me this a Sr day of k1 l., 20 1 Paul R Bagby aoxy(t 4 .v Ex Commission EE042408 Signature of Notary Public t�MQ f or no Expires 01/23/2015 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 =Val'n calcs F7= Square footage calcs F8= Street name inquiry F9 =Work description F1O =View 2 F12 =Cancel - ice -�` s CITY OF ATLANTIC BEACH "" 4 800 SE RO AD J o "µ' zt ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 '' P4 VitiSf 14 , 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 SVEI — 83 "i / "-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: XSewer Replacement 11 Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System- Number of Heads r 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 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 authoritt violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name h I E + 5 tF ft Phone Number 30'Y'-/..-, C S k ocoa Plumbing Company ci1-5N PJ4Office Phone o260 7 `2 Fax - 05l4 , Co. Address: /,'567 ' /t / 3 J Qe D4 o?A* City :1 1)C State f ,5 L Zip ,3 ,22 Y v'ot -� License Holder (Print): / J �Y`�. /L to Certi cation /Registration # C FCC-S 7/ Notarized Signature of License Holder ploy Pt Notary Public State of Florida Sworn and subscribed before me this ST day of 1` - j l L . 20 11 wi t Paul R Bagby n� ) ,, Ho my C o i io 5 042408 S ignature of Notary Public t" ) � i� 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