Permit Plbg Septic to Sewer City water 1487 Begonia 2011 �, CITY OF ATLANTIC BEACH
�-� 800 SEMINOLE ROAD
{ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00003004 Date 12/14/11
Property Address 1487 BEGONIA ST
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
CONNECT CITY WATER AND SEWER
Owner Contractor
PONCE, JANET M. CHRISTY FIRST COAST PLUMBING
1651 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247 -4419
Permit PLUMBING PERMIT
Additional desc . CONNECT TO CITY SEWER & WATER
Permit Fee . . . 69.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/11/12
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 69.00 69.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 73.00 73.00 .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 ADDRESS: ) 4 O ! mot 1 " i a_ PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OFFIXTURE QTY TYPE OFFIXTURE QTY
Bathtub 4 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 T ray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE -PIPE:
TYPE OFFIXTURE QTY TYPE OFFIXTURE 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
Laundr Tray Water Connected Appliances
Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System Number of Heads ❑ Well * *
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
[Other bctiV £2r i- Wc44c
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 laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give auth to violate a provisions of any other state ors local law regulation construction or the performance of construction
Property Owners Name �V(� r o(\G�
Phone Number 0?
Plumbing Company(/I , irl - 1651 Mayport Road Office Phone C474 Fax i`
Co. Address: (Of �� / • Atlantic Beach, FL 32233 Cit State Zip
License Holder (Print): P1 (� / _ S ertification/Registration #
Notarized S'; e of License . o ' -r t •••evi (7t).40
}R `•' ; JUUE YOUNG CHRISTY S L 'am and subscribed ore e this l
c*: * MWCQMMISSION q DD 873293 y f �`�' �'�`' 4" C20
'' ��►� EXPIRES: July 21, 2013 eQ
o �, Bon ded ThN Notary Public Underwrit • ture of Notary Public t R