Plans 368 7th St interior remodel 2012 44 `r'4
, ry ,. it% CITY OF ATLANTIC BEACH
.. 800 SEMINOLE ROAD
J " Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000082 Date 2/21/12
Property Address 368 7TH ST
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 15000
Application desc
interior remodel
Owner Contractor
LINDLEY TOLBERT DESIGN INC BOSCO BUILDING CONTRACTORS
465 BEACH AVENUE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -0320
- -- Structure Information 000 000 INTERIOR REMODELING
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . COGBURN AND WAKEFIELD PLBG
Permit Fee . . . 153.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/19/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE PLBG DCA SURCHARGE 2.30
STATE PLBG DBPR SURCHARGE 2.30
Fee summary Charged Paid Credited Due
Permit Fee Total 153.00 153.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.60 4.60 .00 .00
Grand Total 157.60 157.60 .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: —5Cp l 1
PERMIT # / - j
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub Qom'
Clothes Washer Septic Tank & Pit
Dishwasher Shower /
Shower Pan
D
/
rinking Fountain
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet 3
Urinal
Kitchen Sink
Laundry Tray ____/____ Vacuum Breakers
Lavatory Water Connected Appliances /
Other Fixtures Water Heater
Water Treating System
RE -PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTR'
Clothes Washer Septic Tank & Pit
Dishwasher Shower
Drinking Fountain Shower Pan
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
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons
❑ Lawn Sprinkler System - Number of Heads g (Requires 3 sets of plans)
kl
** 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 L l I,v d t T-6.(-6,-/- Phone Number 2-3 7- 7/ '- /c
'lumbing Company C,v(ouif-----1 A- k P/ (j,,,,, (9 r
�' Office Phone ?� Y ,) /24o Fax ?ay 379 - 403/
:o. Address: S t o 76‘4..).54.,-,„/ Xi tf-2. '2 fa y City y TF
�d � � y State Ft_ Zip 3
License Holder (Print): �1 da . v State ertification/Registration # FC ( / Vo
Notarize . , , e o License Holder ' L r
Y
'' =; SHIRLEyL
''' " ' GRAHAM 5776 0 S orn and sub `bed b: fo :110 . � d o /
. MY COM MISSION # DD 2 y 20 /.
114 "gm A N Nt;ta� February u e _ ta ry Publt. r ,/ ' afore of o /��