Permit Plbg Repipe 1752 Sea Oats 2011 7 , ,----
r � .s CITY OF ATLANTIC BEACH
is AL—AL, r si
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002338 Date 7/14/11
Property Address 1752 SEA OATS DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
12 fixtures
Owner Contractor
STEHR AMERICAN PLUMBING CONT. INC.
1752 SEA OATS DRIVE 5720 ARLINGTON RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 591 -5385
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 139.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/10/12
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
LOB ADDRESS: II 5 So (Oil-i Dz, 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 QT Y
Bathtub 2- Septic Tank & Pit
Clothes Washer I Shower
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs 2- Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances n
Lavatory 2-, Water Heater 1 (/'
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System - Number of Heads ❑ 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 to violate the provisions of any other state or local law regulation construction or the performance nce of construction.
Property Owners N. - ,.L .,f _ Phone Number q - ()To
Plumbing Company X111 le _ , 4 t_ ;:tfet ! Office Ph ne 7g'/ 3 Fax
0 I City -J C 2-
Co. Address: �►�_ _. � AX - State �
License Holder (Print): !' cuul Ai ' --
tate Certification/Registration # SI d S pb pp
Nota sized Signature of Livens Hol - r _All
NOTARY PUBUC.STATE P t C1 f17 , +-
OR
I im I a I°r s wom and su•scribed before n 1 ` „ d./ of 11 20 11
Com ;41�
miss:orl D76132 i nature of Notary Public
' xrires; APR. 08, 201 g
k.. , ".11ANTIC BU ND IN GCO, INC .