Permit Plbg 251 Levy 2100 r yV i :rj �, \
s � `s CITY OF ATLANTIC BEACH
,, . s 800 SEMINOLE ROAD
t ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
' 4..Oil X
Application Number 11- 00002238 Date 6/21/11
Property Address 251 LEVY RD
Tenant nbr, name MORAN ENVIRONMENTAL
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 1100
Application desc
replace 2 backflow preventers
Owner Contractor
251 LEVY ROAD LLC AMELIA PLUMBING
P.O. BOX 330358 2232 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 821 -8355
Permit PLUMBING PERMIT
Additional desc . REPLACE 2 BACKFLOW PREVENTERS
Permit Fee . . . 69.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 12/18/11
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 69.00 69.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 73.00 73.00 .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
OB ADDRESS: 2- 5) ) a v y
PERma
EW OR REPLACEMENT INSTALLATION: Project Value $ 1 100
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub �°TY
Clothes Washer Septic Tank & Pit
Dishwasher Shower
Drinking Fountain Shower Pan
Floor Drain Slop Sink
Floor Sink Three CoznpaiUnent Sink
Hose Bibs Toilet �,
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
Water Treating System
E -PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank & Pit
Dishwasher Shower
Drinking Fountain Shower Pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
Water Treating System
✓IISCFLLNFOUS:
I Sewer Replacement XBack Flow Preventer ❑ Grease Interceptor (Trap) Gallons (Requires 3 sets of plans)
Lawn Sprinkler System - Number of Heads ❑ Well
* SJRWD Well Completion Fornn. Completed form to be submitted to the Building Department for final inspection.**
Other (- Rep 0.e e 1. o-F 2 bae,k--1-6 pre ►ge e rb .
ermit 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
us 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
r 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.
'roperty Owners Name Ike ra4A__ Fytil Yo m -cj Phone Number 2-4 1— 22-DC
Iuznbing Company f 10.. -P I 0410 Office Phone 7)1�0�� Fax 2-2-3- SS310 �j�
0. Address: P 0 b 5015 City State � Zip 3 2-240 2-240 ;cease Holder (L?r °if) I� o4c - 1 - aw
State Certification/Registration # C£CO5164-
cra'rz2a El nntizr -e of License KoWWer
.' "v®, MICHELLE L. WALDR F -n and subscribed before one this - 2 _
m . _ Commission DD 68874 day of �.� l�k D'� C �� f�l�
�;� o€ Expires June 25, 2011 C •
• ' ture O f N 11 OO T /) ��� L try Q
p F \ °? Bonded Thni troy 'Gin Insurance 800 �IIt� Notary Publ�e J , li v vl