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.