Permit Plbg Water Heater 414 Sherry 2011 , CITY OF ATLANTIC BEACH
. ... " 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002540 Date 8/24/11
Property Address 414 SHERRY DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 water heater
Owner Contractor
MARCHIOLI, J. P. AMELIA PLUMBING
414 SHERRY DRIVE 2232 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 821 -8355
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/20/12
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
JOB ADDRESS: 41 /� 34e rr L l -- )I ' 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 1 (T&J k5 .5)
Other Fixtures Water Treating System
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RE -PIPE: E/-ec • pervt rt
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY a/50. l
Bathtub Septic Tank & Pit
Clothes Washer Shower �Sh
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:
II Sewer Replacement 1111 Back Flow Preventer 11111 Grease Interceptor (Trap) gallons (Requires 3 sets
of plans)
lie Lawn Sprinkler System- Number of Heads Al Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
MI Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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 perform ance of construction.
Property Owners Name arch ) 0 Phone Number /—' 4 l
Plumbing Company 41.e.,(1 CL_ 11tu,tbl' J 1 C Office Phone _` ` Fax Fax a- -- - 0 0 1 J
Co. Address: 2 r \Ar ` V` City N.Q. pivot- State H Zip 3a`0 i(6
License Holder (Print): . 7 ko / State Certification/Registration # 4 -( 7 7 1 /
Notarized Signature of License Holder F /411PIta .. _ m�cio.nr:6�� I '4 . MY COMMISSION # DD' 760
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e-L L ..-- - orn and subscribed bef e me I "` 1 ''� ' s-� 2 0 1
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