Permit Plbg Repipe 334 Oceanwalk 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002931 Date 11/22/11
Property Address . . . . . . 334 S OCEANWALK DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
15 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
BURNS STEEG PLUMBING
334 OCEANWALK DR.S . 1601 MAIN STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 160 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/20/12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 .40
STATE PLBG DBPR SURCHARGE 2 .40
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 160 . 00 160 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 80 4 . 80 . 00 . 00
Grand Total 164 . 80 164 . 80 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
TG PERMIT APPLICATION
PLUMBIN
CITY OF ATLANTIC BEACH
806 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
PFRMU
JOB ADDRFSS:
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FEffuRE OTY Tyy,.E oF FixTuRE 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 FixyuRE Q2-y TYPE oF FixTuRE Qyy
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs 4_ Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
ii Sewer Replacement [I Back Flow Preventer o Grease Interceptor(Trap)_gallons(Requires 3 sets of P1,
Ei Lawn SpriWder System-Number of Heads o Well
** SJRWD Well Completion Form. Completed--form to be submitted to the Building Department for final inspectiOl
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 certify 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 with whether sped
or not. The permit does not give authority to violate the provisions of any other state or local law regalation construLdon or the performance of constructi-
Property Owners Name J&�S Phone Number
:5,-JL t;N,6.
Pluarnbing Company 71-'e 1611; (C) Office Phone '7 F
'0
Co. Address: A4� -:57— city State&—
State Certification/Registration leAwilk
License Holder(Print):
Xatariz I MR yZ09W. U.�
77 __rsc ie thi v 4
id 7)
f
MY COMMISSION#Do 957760 .2 201
0
'bed bef m e t Ei
EXPIRES:February 14,2014�O i and s C.—LL
Bonded Thru Notary Public Under w r#ers
ature of Notary Pu 7-