Permit Plbg 137 S Oceanwalk 2011 101- :Py
f ' y ` f ‘ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002591 Date 9/08/11
Property Address 137 S OCEANWALK DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 shower pan
Owner Contractor
EDDINGS CERTIFIED PLUMBING CONTRACTORS
551 CHATHAM STREET
ATLANTIC BEACH FL 32233 UNIT 1
JACKSONVILLE FL 32205
(904) 384 -4101
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/06/12
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.
09/08/2011 22:52 99043896610 CERTIFIED PLUMBING CONTRACTORS #5132 P.002 /003
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
Jos ADDRESS: /37 0 C&� PL-W/C kV. 5 M PEm u'r #
NEW OR REPLACEMENT INSTALLATION: Project Value $ 1 e o ,o6
TYPE OFFLYTURE Qrr 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 Qry
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop ink
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:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
o Lawn Sprinkler System Number of Heads 0 Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
❑ Other
Permit becomes void rf 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 Ail 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 of construction.
Property Owners Name 6 ci Cl lv1 t Phone Number `7 4 7 - 4 0 e 7
Plumbing Company 4.4/ .C; zeil lP EU •► 6 vt I C81147 ' 'Office Phone se Li/ 0 r Fax 38 -, ("WO
a zLSV
Co. Address: ,2 . ' � c kx rd c. tame- 'T R-- City iTii Gk u e'lle State ii Zip 3)- t
License Ilolder (Print): w. a.. , 4-C • r - Certification/Registration # ,p 51 f 0-1
Notarized Signature of License Holder r
:4 , y s j „'• � = 1i , ed before me f4 0 day o — O 20 _ (�„
. - M
..., .: E�IBES: February 1 : 4
'�;A Bond �I�,Ci l�li� i i ,. h; NM. 1 t-_
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