Permit Plbg 537 Aquatic 2011 0
CITY OF ATLANTIC BEACH
4 Mk y 800 SEMINOLE ROAD
tF` 5 ATLANTIC BEACH, FL 32233 fr
` °'µ INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002089 Date 5/16/11
Property Address 537 AQUATIC DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
12 fixtures
Owner Contractor
CLINE MASTER PLUMBING OF JAX, INC.
537 AQUATIC DRIVE 5514 BURDETTE AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 744 -9138
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 139.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/12/11
Other Fees STATE PLBG DCA SURCHARGE 2.09
STATE PLBG DBPR SURCHARGE 2.09
Fee summary Charged Paid Credited Due
Permit Fee Total 139.00 139.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.18 4.18 .00 .00
Grand Total 143.18 143.18 .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: 537 AQUATIC DRIVE PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $ 2300.00
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 2 Septic Tank & Pit
Clothes Washer 1 Shower
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs 2 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 Water Heater 1
Other Fixtures Water Treating System
\l/
MISCELLANEOUS:
0 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
a Lawn Sprinkler System -Number of Heads 0 Well * *
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
0 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 Carl Cline Phone Number 904 -631 -1011
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 537 AQUATIC DRIVE PERMIT #
Plumbing Company Master Plumbing of Jacksonvlle, Inc. Office Phone 904 - 744 -9138 Fax 904 - 744 -9190
Co. Address: 5514 Burdette Road City Jacksonville State Fl Zip 32211
License Holder (Print): Darel G. Powell State Certification/Registration # CFC 048328
Notarized Signature of License Holder
Sworn and subscribed before - le day 20 //
Signature of Notary Publi •
„,A Py ; SHIRLEY L G
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