Permit Plbg 1455 Begonia 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002828 Date 10/28/11
Property Address . . . . . . 1455 BEGONIA ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
septic to sewer
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Owner Contractor
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HUMPHREY ROY E CHRISTY FIRST COAST PLUMBING
1455 BEGONIA STREET 1651 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247-4419
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/25/12
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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 ADDRFss:, L40� PERMrf#
NEW OR REPLACEMENT INSTALLATION: Project Values
TYPE oF FvcruRE QTY TYPE oF Fmum 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 FDavRE QTY Tim oF Fmum 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 o Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Spfinkler System-Number of Heads ii Well
&IRWD Well Completion Form. Completed form to be submitted to the I Building Department for final inspection."
Lq"
M Offiff
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
ft application and lmow the same to be true and con=L 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 perflorman e of construction
Property Owners Name- *tmarg4t- 10 Phone Number
Plumbing Company rjriu I. -r--)f- ab/lfiL ce Phone - A(-�6�fax Ic?
Co. Address: " J/) /i All City State ILA-ZiP3
'fic
License Holder(Print): K.,, fvac, State" ation/Registration#
riwd Sirnawre 2CLicense joldeil
'1410i AILIE YOUNG CHRISTY 20
W COMMISSM III DD 8732D3 Swom and sub 4e&Zore"s of 01!5�
EXPIRES:July 21,2013
1""T1,U NOM 1Wk UWM4M Signature of Notary Public
ILI