Loading...
1855 Live Oak Ln plumb repipe 2012 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 � INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000763 Date 6/19/12 Property Address . . . . . . 1855 LIVE OAK LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 15 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WYLIE TODD & SILET STEEG PLUMBING 1855 LIVE OAK LN 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 160 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/16/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 .40 STATE PLBG DBPR SURCHARGE 2 .40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 80 4 . 80 . 00 . 00 Grand Total 164 . 80 164 . 80 . 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: � ��� Z1 V< Oise Y PERMTr# NEW OR REPLACEMENT INSTALLATION: ]Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan FDrinking SlopSink loor Drain Fountain Thre 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 2_ Septic Tank&Pit Clothes Washer / Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 12 HoseBibs 7.- Urinal Kitchen Sink /• _ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _ _ Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plan ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** X* 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 r( 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 specifi( or not. The permit does not give authoriV to violate the provisions of any other state or local law regulation construction or the performance of construction Property Owners Name Jae Phone Number Plumbing Company Alibv 6 G Office Phone t Fax Co. Address: r City Le State jol`/ ZiP744 3 License Molder(Print): -T M C State Certification/Registration# C'fi!�21 A17atariz ,.b ` � e Holder 20_ €,t.[!'L.GRAHAM day . i-sictu a oo ssn5� Sorn and scribed Qre e ,is i nr.hto:t"abrua '. • �N 8ondd:i Toru otaryPU Ic UrM201 e r ature of Notary Public