Permit Plbg 42 W 8th St 2012 e z1
CITY OF ATLANTIC BEACH
I
800 SEMINOLE ROAD
`) , ",� " ,` "� ATLANTIC BEACH, FL 32233
� INSPECTION PHONE LINE 247 -5814
Jii 52J
Application Number 12- 00000403
Property Address Date 4/10/12
42 W 8TH ST
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPLACE 7 FIXTURES
Owner Contractor
BROOKS & LIMBAUGH ELEC CO INC CHRISTY FIRST COAST PLUMBING
42 WEST 8TH STREET 1651 MAYPORT RD
ATLANTIC BEACH FL 322333412 ATLANTIC BEACH FL 32233
(904) 247 -4419
Permit PLUMBING PERMIT
Additional desc . 7 FIXTURES
Permit Fee . . . 104.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 10/07/12
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 104.00 104.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 108.00 108.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
—, J rust coast Plumb
90 42494660
P.1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC .BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 2 47 -5826 Fax (904) 247 -5845
JOB ADDRESS: 1
PERlvnT # l - 4
•
NEW OR REPLACEMENT INSTALLATION:
TYPE OFFIXTURE Project Value $
Bathtub { Qom' TYPE OFFIX�'URc
Clothes Washer QTY
Dishwasher Septic Tank & Pit
Drinking Fountain ____ Shower - ---__,
Floor Drain _�_ Shower Pan
�_._
Floor Sink Slop Sink _______
Nose Bid �— Three Compartment Sink - `-----
0
Kitchen Sink Urinal
Urial
Lavatory
Vacuum Breakers - ---- --
Other Fixtures Water Connected ApplGes ---� _
Water Heater
RE PIPE: `�-- Water Treating System — L—
---_--
TYPE OP FIXTURE
Bathtub Qom' TYPE OFFIXTURE
Clothes Wash --- __ Se tic Tank en'
Dishwasher — P ank Pit
Shower
D Fountain -- Shower Pan
Drain - ---`-- Slop S
Floor Sink __� Compartment Hose Bibs - et Sink - ---
Kitchen Sink ____ Urinal ---- --
Laundry Tray Vacuum ---__ _
Lavatory um B ►eskers - ----__
Other Fixtures ` ` Water Connected appliances `—
Water Heater
ISCELL Water Treating System
A►NEOUS: W �
O Sewer Replacement ❑ Back Flow Preventer
Grease Interceptor (Trap)
F* SlR W.D Well Carnpletion Form_ Completed fod m be submitted ° Well ** g (Rcgiures 3 sets of plans)
to the Budding Department for final inspection **
i Other
does not co
work void becomes
'o vod if rk d mmence within a six month period or work is suspended or abandoned for six months. I hereby 'e application vo d ifw u rk d ame to be mm and correct All
not The ion and
does not give authority and correct t AJJ provisions si n any other State n
or V ocal c s g r v g t w ork will be p that I have read
a so f ed with of specified
roperty Owners Name fra , k gelation construction or the performa ofco
�. FLU I construction.
umbin Co
1 �� � ' 1 a Ma • ort Road Phone Number c:97 ' _ • op
fir Office Phone Fax i` C � ; , .4 D. Address: 14_, . k . Atlantic Beach, FL 322 Ci
icense Holder (Print): r . �/ 414: - State nn Zip
' � State C 70, cation/Registration # C�
7tarized Signature of Licenser o , er .it' f .
________IYH44
'��'��' ME ' 4. worn and subs b •erefore e this e 1 )
i �y 1 t
COt 1�510Nt qp 87 293 y of `t r 20 1 - -
' ` , +, EkFIAS', Jury 21,2013 Signature of Notary Public SZ