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1305 & 1309 Violet 2011 - Permit Plbg Septic to Sewer i e k y CITY OF ATLANTIC BEACH i m v 800 SEMINOLE ROAD , ATLANTIC BEACH, FL 32233 t 0 INSPECTION PHONE LINE 247 -5814 Application Number Property Address 110002697 Date 9/28/11 1305 VIOLET Application type description PLUMBINGONLYT Property Zoning TO BE UPDATED Application valuation Application desc septic to sewer Owner Contractor HARVEY 1305 VIOLET STREET PLUMB-PAL, INC. 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -8856 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee Issue Date . Valuation 00 Expiration Date . . 3/26/12 0 Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2.00 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 Plan Check Total .00 .00 .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: .3 0 S (/ - - S4 PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater 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 ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Nero _Sic e1 " 3 , I, L' J7 fr-r, o 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 state or local law regulation construction or the performance of construction. Property Owners Name A b + t _ ``Y`' �--� � Phone Number Plumbing Company p('�,,,, 4 -4( 4---c- Office Phone 2 yC- 8 eSz Fax .J Co. Address: / S� / "' /3 Cr /* l.4, C . City --f� rc z 2 3-7- Y State �(, Zip License Holder (Print): ° (4 ( C ,,.L State Certification/Registration # c FC o .C7 C 7d' Notarized Sig ' ' • :me nse Holder MY commisStoN /_ 1µ r P `_7;.* ... ... ; '�, Nor • . ., SHIRLEY L. cR , d ubscribed . efore A. t? ri ` EXPIR • a of Es: Februa 1 !�f t ` Bonded Thru Notary Pu blic %; 20ta �� 20 I - of Notary Public �' r „ 0.,.. ,,, , ,..:,,,„ CITY OF ATLANTIC BEACH :) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number Property Address 11-00002698 Date 9/28/11 1309 VIOLET ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEPTIC TO SEWER Owner Contractor REMLEY, DONALD PLUMB -PAL, INC. 1309 VIOLET STREET 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -8856 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . . 62.00 Plan Check Fee Issue Date .00 Valuation Expiration Date . . 0 3/26/12 Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2.00 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 Plan Check Total ,00 • .00 00 • .00 4 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: /3c ? V c, C(r - (-- .54 PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ - Back Flow Preventer ii Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other ii ,5 ---cr"-- h 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 state or local law regulation construction or the performance of construction. Property Owners Name ( 7),- i "" Phone Number Plumbing Company f(,-,,,,„ i 4 - ( _t---(-- / Office Phone ?Y‘- 88 Fax Co. Address: / ? ?g � a.,- f a (,, Cit �k /3r ( State Zip 3•K^a License Holder (Print): ( ` ,Dc--~71, State Certification/Registration # C . 1 . 3 6 75 Notarized Signature of License Holder �--� Sworn and su scribed before me this day of 20 Signature of Notary Public