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Permit Plbg New Sewer 1620 Beach 2011 CITY OF ATLANTIC BEACH r r;► 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 , , : INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002464 Date 8/09/11 Property Address 1620 BEACH AVE Application type description PLUMBING ONLY Property Zoning BE UPDATED Application valuation . . . 0 Application desc CONNECT TO CITY SEWER Owner Contractor STRANAHAN, JAMES CHRISTY FIRST COAST PLUMBING 1625 BEACH AVENUE 1651 MAYPORT RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . NEW SEWER CONNECTION .00 Permit Fee . . . 62.00 Plan Check Fee . . Issue Date . . . Valuation . . . . 0 Expiration Date . 2/05/12 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 f Jos ADDRESS: i (Q 0_,a Cw&i— PER1VSfT # //— 2 4 C NEW OR REPLACEMENT INSTALLATION: Project Value $ w.00 • . TYPE OFFIXTURE QTY TYPE OFFIXTURE 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' Other Fixtures Water Treating System RE PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Qn' 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 ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number 0 umber of Heads ** ** WWI) WWI) Well Completion Form. Completed form to be submitted to the Building Department for final inspecti on. ** t Other 0O0.,- {i2 0i-9 9 V 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 an 4 er state on local law regulation construction or the performance of construction. e ..ft (l�-�' Phone Number i ll ' g ` f Property Owners Nam 51141 / 1 � ,, f � v Co. Address: 1t Plumbing Company eH � 51- 7 1-1K51" CV P �� ""ice Phone 6 6`� a 1 -44 0 � F ax d?-C 51 L4CL (f" &OCt.l City P'�''1anh r ,5QIIChState Zip / 5,?.-33 License Holder (Print): 1 r ! r�G� State • cation/Registration # /' . — . Notarized Signature of License Holder N� ie orn and subscri fore me ths day of ,. _ °'2 — v ornandsubscribf0remeTh5 tiRisnr Publ #� DD 873293 gn y ature of No 4 bti U deidetuniters � li ' 0 CITY OF ATLANTIC BEACH f,, 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 '''' W.,,,V Application Number 11- 00000502 Date 8/10/11 Property Address 1620 BEACH AVE Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SYSTEM DEVELOPMENT CHARGES Owner Contractor STRANAHAN, JAMES OWNER 1625 BEACH AVENUE ATLANTIC BEACH FL 32233 Permit ADV PMT -SEWER IMPACT FEE Additional desc . SDC SEPTIC TO SEWER Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 8/10/11 Valuation . . . . 0 Expiration Date . 8/10/11 Other Fees SEWER SDC- SYSTEM DEV CHG 4050.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4050.00 4050.00 .00 .00 Grand Total 4050.00 4050.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.