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Permit Plbg Sewer 980 Mayport Rd. 2011 j'Vf CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002937 Date 11/23/11 Property Address . . . . . . 980 MAYPORT RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SEWER REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEACHES CUSTOM AUTO REPAIR F.W. FAIR PLUMBING CO. 980 MAYPORT ROAD P.O. DRAWER 51558 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-7191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/21/12 ---------------------------------------------------------------------------- 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 Serninole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: e7 PERAUT NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FixTuRE QTY TYPE OF FrxTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain 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 FrxTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavat ry Water Connected Appliances 0 Water Heater Other Fixtures Water Treating System MJSCELLANEOUS: '�Sewer Replacement 0 Back Flow Preventer El Grease Interceptor (Trap) gallons(Requires 3 sets of plans) 0 Lawn Sprinkler System-Number of Heads 0 Well **SJRWD Well Completion Form. Completei—fonn to be submitted to the—Building Department for final inspection." 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 h7by�cenify 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 specified or not. The permit does not give authority to violate the provis. ns of any other state or local law regulation construction or the performaNe of construction. Property Owners Name 6 Plumbing Company 7: Phone Number — 'J 49__J Office Phone Fax 2�V"/ ?17 43 Co. Address: License Holder(Print): city State Zip Notarized Signatu ns6&6 AM teeertification/Registration MYC-M EXpIRES: bruary 14,2014 Bonded Thru N scribed b ay f 20 Signature of otary Pubi