Loading...
Permit Plbg 469 Atl Unit 5 2012 41 0 r J .% 7 ° �,'� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 0 ` ' ri ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 r Ji3 =)'� Application Number 12- 00000359 Date 3/29/12 Property Address 469 ATLANTIC BLVD UNIT 05 Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 2 fixtures Owner Contractor DIAMOND REAL ESTATE PROPERTIES A TO Z CONTRACTING AND PLUMB 6517 LOU DRIVE SOUTH 406 HAMLET ROAD JACKSONVILLE FL 32216 JACKSONVILLE FL 32221 (904) 378 -5071 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 69.00 Plan Check Fee .00 Issue Date . . Valuation . . 0 Expiration Date . 9/25/12 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: C7 l fl-A-1 A.vi -,c— N U ik, ' ((S PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Slop Sink Floor Drain 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 RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Q Bathtub Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet r Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory 1 Water Connected Appliances Other Fixtures Water Heater 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 ** ** SIRWD 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 6'1 i C L Q4 TA ti , o uS Phone Number S 13 Plumbin Company A -j2, ,,,Arrrc:,t d ,�,a \) b f Office Phone -.0 (WO) Fax � .), agd :o. Address: 1 10,6 u PK 1�7�" Q Cit 14 X State P ( Zip 34).1-J License Holder (Print): N t \ y vvi State Certification/Registration # CSC y ), Votarized Signature of License Holder A ittillit A H4 � ° •`•' Y f �S worthl, 4 Lai htibed 3efor- . - , _ . c of A /2 x.. , ■ ',�': MY COMMISSION DD 957760 20 I 1-..tv1,1, ...