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Permit Plbg 469 Atl Unit 7 2012
'� CITY OF ATLANTIC BEACH 1 � 800 SEMINOLE ROAD '4 r � ATLANTIC BEACH, FL 32233 j � ` ` INSPECTION PHONE LINE 247 -5814 \)J Application Number 12- 00000360 Date 3/29/12 Property Address 469 ATLANTIC BLVD UNIT 07 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: 2 /69 44 11AAA I t✓ L l k4 4 (7 PERMCr # 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 1 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory ___1__ 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 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 r1 ) cii J A MA/ O Phone Number X7 3/ 3 Plumbing Company , • _ .. -\" ■• = v , i Util 6 • ffice Phone -2 QO CIO 7 Fax 7'61 1d?f 0 Co. Address: l iO6 ti vk " City �14 X State Fl Zip 3- 7 License Holder (Print): C C'-kA 7 K© \ State Certification/Registration # c F�- 1 4 2 7861 L Votarized Signature of License Holder \ A 4 94: , :!k...... 1. .1 My conRMi55i s s i . scribed befor_ me N �-„ day . f hi / I, l A 201 tea; .2= a- EXPIRES: rua 4 2014 p z Bonded Tin N l I ota ry Publi •�_�_ . _ � . : • AI