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Permit Plbg Septic to Sewer 480 W 9th 2012 �� i CITY OF ATLANTIC BEACH r--_, 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 .'� INSPECTION PHONE LINE 247 -5814 ---011 1. Application Number . . . . . 12- 00000031 Date 1/10/12 Property Address 480 W 9TH ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc septic to sewer Owner Contractor BENNETT CHRISTY FIRST COAST PLUMBING 480 9TH STREET WEST 1651 MAYPORT RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/08/12 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. .b PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 . f JOB ADDRESS: cD \A) P'' t �'L t 1 -t- y._ PERMIT # . NEW OR REPLACEMENT INSTALLATION: Project Value $ • - TYPE OFFIXTURE QTY TYPE OF FIXTURE , 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 .e 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 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 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 /'Y 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 authority to violate the provisions of any other Late or local law regulation construction or the performance of construction. Property Owners Name k 07 C 2De (11(12 Phone Number * -- Plumbing Company(?/? Ara- 1651 Mayport Road Office Phone 474 Fax rk -- , / cov- Co. Address: , ,► Ix. Atlantic Beach, FL 32233 City State zip License Holder (Print): rl J,/ ( 1."1". �' _ S C 11 ,►�� : ; on/Registration # Notarized Signature of License . o der UQ l e 1< Iaa , JULIE YOUNG CHRisnr om and subscribe be, s l e this C rt .1 . day of d 1 20 1 ~ a'' MY OVMISSION N DD 873293 ri EXPIRES: July 21, 2013 gnat= of Notary Public ,� ' 1T m : �n, ' That Nary Pty UtMBMlfi101S r lir fir i a)—isicht, Jan 10 12 09:01a Christy First Coast Plumb 9042494660 p.1 1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 a.. Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: W I v-ar V L ti) 5tfP-t- PERMIT # • NEW OR REPLACEMENT INSTALLATION: Project Value $ • TYPE OFFIXTURE QTY TYPE OFFIXTURE , QTY Bathtub a Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain SIop 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 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 Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: 0 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor (Trap) gallons (Requires 3 sets of plans) o Lawn Sprinkler System - Number of Heads o Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** tie Cher ip tt 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 1 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 authority to violate the provisions of any other State or- local law regulation construction or the performance of construction. Property Owners Name ' i ) L nom Phone Number 5 --- 3v5 Plumbing Company 1 IF ( 1.4 i 1651 Ma ort Road office Phone '?74 4g Fax r k r Co. Address: Una r ' kir • Atlantic Beach, FL 32 city State Zip 4 3 License Holder (Print): 01 i i .t1 k r I r' . SU, C • ;00 . tion/Registration # Notarized Signature of License - o der — �/ laL. "r Tee ` , auut:vouNSaiws>Y ' • orn and subscribe, H a this "l �� day of �� /� 20 �1-)--- MY CbASSION i DD 873296 1 - 4._ ! EXPIRES: July 21, 2013 ,, • e of Notary Public , ! I ' / 9e- limo Notary PAN: Underwriters IF