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