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Permit Plbg Shower Pan 251 S Nautical 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 r INSPECTION PHONE LINE 247-5814 Application Number 12 Property Address -00000657 Date 5/29/12 Application type description 251 S NAUTICAL BLVD Property zoning PLUMBING ONLY Application valuation TO BE UPDATED --------------------------------------------- 0------------------------------ Application desc 1 fixture Owner ------------------------ Contractor JURGENS, CONRAD & PAT ------------------------ 251 S NAUTICAL BLVD CHRISTY FIRST COAST PLUMBING ATLANTIC BEACH FL 32233 1651 MAYPORT RD ATLANTIC BEACH FL 32233 ----------------------------------- (904) 247-4419 Permit PLUMBING PERMIT----------------------------------- Additional desc . . Permit Fee 62 . 00 Issue Date Plan Check Fee Expirati . 00 'on Date Valuation ---------------------------------------------------------------------------- 11/25/12 Other Fees STATE PLBG DCA SURCHARGE 2 . 00 ------------------------------------STATE-PLBG-DBPR SURCHARGE 2 . 0o Fee Summary Charged ----- ---- ---- ------------------------ ----------------- ---------- Paid Credited Due Permit Fee Total 62 . 00 ---------- ---------- ---------- Plan Check Total . 00 62 . 00 . 00 . 00 Other Fee Total 4 . 00 . 00 . 00 . 00 Grand Total 66 . 0o 4 . 00 . 00 . 00 G6 . 00 . 00 . 00 CXVX m XVVNN'NXV SVNV-VV qMV0XSmw--uS --vk�x, PLUMBING PE0,PWIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 JOB ADDRESS: Ph(904)247-5826 Fax(904)247-5845 4- NEW oR REPLAcEmmNT NSTALLATION: Project Value$ TYPE oF FvcwRE ----------- Bathtub , QTY 27M OF FnCMRE QTY Clothes Washer S=c Tank&Pit Dishwasher S er Drinki untain Shower pan Floor= Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatozy Water Connected Appliances Other Fixtures Water Heater Water Treating system RE-PIEPE: TymoFFDrTuRE QTY TYPE oF FLyTuRE Bathtub QTY 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 11 Back Flow Preete, 0 Grease Jterceptor • Lawn SPrin1der System-Number of Heads (Trap) gallons(Requilres 3 sets of plans) forn—ito be submitted to �MWD Well Completion Form. Completei 0 Well 0 Other t9e B_Uilding Department for fin&,inspection.** Permit becomes void if work not commence within a month period or work is susp�ed or atmindoned for six Months.I—hereby certify dw I hav_e� this application and know the same to be tme,and coffecL AsIxIl Provisions of laws and ordinances governing this work will be or noL Ile permit does not give authoRty to violate the provisions of any other�&ft or.local law regulation construction or complied with whether specified PrOPertY Owners Name the Performance of construction. Plumbing Company 4Q%C4 od Road Phone Number –3b Co.Address: Office Phone Fax //r Aflanfic Beac FL 3 License Holder(Print): City State_Zip Votarized Signature OfLicense S7tat Certifi stration#42�c JUUE YOUNG CHRISTY ------ My COMMMION Ji DO 873293 Sworn and sub b me this EXPIRES: day of 20 P July2l,2013 Ounded Thru NotarY Public Underwriters Signature of Notary Public