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Permit Plbg 1710 Beach Ave 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-000007SO Date 6/14/12 Property Address . . . . . . 1710 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WAUGH CHRISTOPHER R. BECKWITH PLUMBING INC 1710 BEACH AVE 26S3 PARRISH CEMETERY RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221 (904) ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - Permit Fee . . . . 97 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/11/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG nBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97 . 00 97 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 00 101 . 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 JOBADDRESS: 1,710 4'etle), 4vf PERMIT 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 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: [:i Sewer Replacement 1:1 Back Flow Preventer 11 Grease Interceptor (Trap) gallons(Requires 3 sets of plans) r� Lawn Sprinkler System-Number of Heads Ei Well SJR WD Well Completion Form. Completed form to be submitted to t6e-Building Department for final inspection. El 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 R14ey FlIcAll Zy1dtW111 Phone Number Plumbing Company 13ecllWilk PILk"J Office Phone 65U-0250 Fax w1573-6)W6 Co. Address: city -—44x State,,��Zip 3 Z-2 Z License Holder(Print): State CprU fication/Registration 0_6&2ZW1 Notarized Signature of License Ider /'7 S orn and subscribed be 11s* y of 20 SHIRLEY L.GRAHAM 'fore MY COMMISSION#DID 957760 EXPIRES:February 14,2014 otary P BondLd Thru Notary Public Underwrite* nature of N ?��ic