Permit Plbg WH 930 Sailfish 2012 l i t
CITY OF ATLANTIC BEACH
*� .' 800 SEMINOLE ROAD
re - .�. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000069 Date 1/18/12
Property Address 930 SAILFISH DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
WATER HEATER
Owner Contractor
BROWN, WILLIE PREFERRED PLUMBING OF NORTH FL
930 SAILFISH DRIVE 2332 DUNN AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
Permit PLUMBING PERMIT
Additional desc . WATER HEATER
Permit Fee . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/16/12
Fee summary Charged Paid Credited Due
Permit Fee Total 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 62.00 62.00 .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: q/ O s'41 L [ id b r- (AJ . PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
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
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 El 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 fmal inspection. **
❑ 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 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 Phone Number
Plumbing Company T p � e i t)le- e—O OV ' uh Office Phone 7S1 33 &1 Fax S —6(0
Co. Address: 2 3 3 2 ' b v n A V City TA )X Stater ( Zip 2 z. (i'
License Holder (Print): pi t 1c e ` ft 0 State rtification/Registration # C �C a. l 8 Z
Notarized Signature of License Hold Yh4-
te '
. • • and subscribed before me this f 7day of 9- 20 r
D�ORA AMANDA wt1I : `- /f' y
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