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Permit Plbg Sewer & Water Connection 590 and 592 Orchid 2011 Jam' al „'I CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J Z. ATLANTIC BEACH, FL 32233 W INSPECTION PHONE LINE 247 -5814 ' '.- -01 > Application Number 11- 00002618 Date 9/14/11 Property Address 590 ORCHID ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc CONNECTION TO CITY WATER AND SEWER Owner Contractor BARLEY GEORGE C TRUSTEE CHRISTY FIRST COAST PLUMBING 732 MAGNOLIA STREE 1651 MAYPORT RD NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . WATER /SEWER HOOK UP Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/12/12 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. cy siN CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -� � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002619 Date 9/14/11 Property Address 592 ORCHID ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc CONNECT TO CITY WATER AND SEWER Owner Contractor BARLEY GEORGE C TRUSTEE CHRISTY FIRST COAST PLUMBING 732 MAGNOLIA STREET 1651 MAYPORT RD NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . CITY WATER & SEWER CONNECTION Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/12/12 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. White, Debbie From: Ramsay, Debra Sent: Monday, September 12, 2011 2:25 PM To: Kaluzniak, Donna Cc: Matthews, Carlene; White, Debbie; Benjamin, Jeri Subject: 590 & 592 Orchid Street Attachments: 590 & 592 Orchid St contractors estimate.pdf; 590 & 592 Orchid St amort schedule.xis; 590 & 592 Orchid Street signed documents.pdf Dear Donna, Attached are the financing agreements, contractor's estimate & amortization schedule for the conversion at 590 & 592 Orchid Street from well & septic tank to City water & sewer. Carlene, please bill all of the recurring charge at 590 Orchid Street per Ms. Diana Ammons (the contact person for this work). Thanks, Debbie 1 le y : �� ' l CITY OF ATLANTIC BEACH 1 ` " ' 0 800 SEMINOLE ROAD 0 -to :V ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002619 Date 9/14/11 Property Address 592 ORCHID ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc CONNECT TO CITY WATER AND SEWER Owner Contractor BARLEY GEORGE C TRUSTEE CHRISTY FIRST COAST PLUMBING 732 MAGNOLIA STREET 1651 MAYPORT RD NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . CITY WATER & SEWER CONNECTION Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/12/12 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .00 .00 PERMIT 1S 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: 6 a R S a D Vt (C jyeet PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ - - _ 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 Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE 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 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 of Heads ❑ Well ** ** WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** Other w It 2 f. 1) (Ail 5140-61 - 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§tate OF local law regulation construction or the performance of construction. Property Owners Name 151106 Phone Number 7 -c-a" V Plumbing Company CH st'I -I- ST CvAr PI.Uortia9 Clfi Phone 64 x' -441q Fax •24 q -400 Co. Address: 1lQ 51 146 fr' 4 90 (f " L0 4. City (F1'jaf{ 1 C b& ?ChState 'II— Zip 3�3a& 3 License Holder (Print): 0 L ♦ 9 . , e Certification/Registration # f C I f G Notarized Signature of License :older X i Sworn and sus before me this l day of 20 4 *: „, fi e , JUI.IEYOlEJ6CHRIST1f y —�- :., 4 , 1 s+: MY COMMISSION N DD 873233 �� _xpr►s: zt, 2013 Signature of Notary Public , lei ��'” Wt, q ,f Bonded Thru Notary Public Undanirkers / /� � ��