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Permit Plbg Sewer 120 Mayport #26 2011 IC BEACH CITY OF ATLANT 800 SEMINOLE ROAD ANTIC BEACH,FL 32233 LINE 247-5814 INSPECTION PHONE r Application Number . . . . . 11-00002935 Date 11/23/11 Property Address . . . . . . 120 MAYPORT RD 26 Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------- ----------------------------------------------------- Application desc replace sewer service --------------- ------------------------------------------------------------- Owner Contractor ------------------------ F.W. FAIR PLUMBING CO. SINGELTONS TRAILER PARK P.O. DRAWER 51558 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-7191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - . 00 Permit Fee . . . . 62 . 00 Plan Check Fee 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 Serriinole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904)247-5845 PERNUT JOB ADDRESS: 2, AM YPk I- 1?2D (' t-r-�' '4 NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE oF FTXTURE 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 Stop 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 MISCELLANIF,OUS: kewer Replacement El Back Flow Preventer o Grease Interceptor (Trap) gallons(Requires 3 sets of plans) S 0 Lawn Sprinkler System-Number of Heads o Well for fmal inspection." SJRWD Well Completion Forrq. Completel-form to�be�submitted to the-Building Department prc Auther 6 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 I and ordinances governing this work will be complied with whether specified Zorm onstruoon. or not The permit does not give authonity vi late the provis ns of an othr S or local law regulation construction or the & ce of c ( Phone Nunit , /V--� - Property Owners Name Office Phone ax el 47 Plumbing Company city Tif Stat/--b ZI Co. Address: CU 3 ;�f License Holder (Print): I State Certification/Registration Notarized Signatu My 00 GRAHAM V, 20) EXPIZWWAr� cribed bi�fo m this Bonded Thru Notary Public U�'derwrite tary Publi