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Permit 1339 Septic to Sewer Violet St 2011 J ° y � . N ;k CITY OF ATLANTIC BEAM ,, 800 SEMINOLE ROAD ty ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002739 Date 10/05/11 Property Address 1339 VIOLET ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SEPTIC TO SEWER Owner Contractor BENNETT PLUMB -PAL, INC. 1339 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 . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/02/12 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: / 3 3 q? l,/, e ( ,1- S 4-- 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 Other Fixtures Water Treating System RE -PIPE: 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 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 ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** El Other s, - .. fJ ' , ..4-a.- J 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 '-, L B ,--,,, „„' Phone Number Plumbing Company 8, M S r f, ( Office Phone Z VC-- Bic 51 Fax Co. Address: (7 ? - ( (6- f', (4 . C'v _ City - ;i 3c( State FE, Zip 3'2 2Sv License Holder (Print): , ` ( 4,s, ( (2 r ,, State Certification/Registration # ( es 7 G 7 Notarized Signature ,n – ii, . —wi ___ "v4 �.: ri� � := MY C MISSION # D. 9 7 ., I 4 20 I� ••o_ ExPI Ab la41•• +t$tidb ribed •efore, e , , a of 1 W' -:; . irr: mo y � Bonded Thru N otary Public Underwriters y . . - - . e - • , • . y Public _ _ � p r itter _ >♦ 1 . ' o i , ` 4 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 JFf 3 %� Application Number 11- 00002738 Date 10/05/11 Property Address 1335 VIOLET ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc septic to sewer Owner Contractor BENNETT PLUMB -PAL, INC. 1335 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 .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/02/12 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: / ✓ 3 l/, ( 1-- S 4 , 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 Other Fixtures Water Treating System RE -PIPE: 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 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 * * ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other S r%o / i c Px-, v .t/cf -- Scr --+- 2— 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 .�.- ( /3 -i,,, . II Phone Number Plumbing Company e( .. ,!, - 4 ( Office Phone 2Y.(- 6' 8S Z Fax - Co. Address: / 7Z F ..5.0-3((r t (.„,,_ City --(4-K. -K. i3- ( State f7 Zip 3 20 .Y` License Holder (Print): M. ' 44.r ( r2 State Certification/Registration # Notarized Signature of License Holder ;; ;, SHIRLEY L. `-7 »!P ; * i ubs ribed bef. - . _� i C 20 " . *: MY l .:., EXPIRES: Fe �nIxe I' : Notary Public a - of ; / I q , t4„ Bonded Thru Notary Pubic Underwriters ��