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Permit Plbg Repipe 150 Magnolia 2011 �1 I I .I 1 11 ck If CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH9 FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002856 Date 11/07/11 Property Address . . . . . . 150 MAGNOLIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc repipe 12 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CANTALUPO, CARLA STEEG PLUMBING 150 MAGNOLIA STREET 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/05/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 09 STATE PLBG DBPR SURCHARGE 2 . 09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 18 4 . 18 . 00 . 00 Grand Total 143 . 18 143 . 18 . 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 806 Seminole Rd Atlantic Beach,FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 Joi3 ADDRFSS: 411-0 PERMrT 1#1 NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FDrfvRE OTY TYPE OF F)XTURE OTY 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 FDcTuP.E QTY TYPE OF F)XTURE 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 Water Treating System Other Fixtures MISCELLANEOUS: Ei Sewer Replacement C3 Back Flow Preventer o Grease interceptor(Trap) gallons(Requires 3 sets of pl. 0 Lawn Sprinkier System-Number of Heads Ei Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectioi o Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certi that I have this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied wn whether speci or not. The permit does not give authQphty to violate the provisions of any other state or local law regulation construction or the performance ofconstrUcti, Property Owners Name CoZZ's, Phone Number any 5�,VC4 L , /t 10"Y Plumbing Comp, Office Phone_gW Fax��� State Co. Address: /97#"o-, 15�t— city �ZA License Holder(Print): J/M � I�e - State Certification/Registration# Xotarized Signature of License Holder efLfk., Sworn and//bscribed hp.F�11-1 20 ,ne this _day of Signature of Notary Public