Loading...
1585 E Park Ter Plumb 2012 CIT OF ATLANTIC BEACH 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 12-0 000798 Date 6/27/12 Application Number . 1585 E PARK TER Property Address . • • • • Application type description PL ING ONLY Property Zoning . . . . . . . TO E UPDATED Application valuation . 0 -------------------------- Application desc 1 fixture --------------------------- Contractor Owner _ _ _ _ ------------------------ CROFT ROBERT W & EILEEN P C.W. WOOD PLUMBING 1585 PARK TERRACE EAST 1328 ROMNEY STREET JACKSONVILLE FL 32211 ATLANTIC BEACH FL 32233 (904) 744-6604 ---------- -----Permit . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 62 . 00 0 Issue Date Valuation Expiration Date 12/24/12 -------------------------------------- ----- STATE PLBG DCA SURCHARGE 2 . 00 Other Fees STATE PLBG DBPR SURCHARGE 2 . 00 _____ _ ______ --------- Fee summary Charged Paid Credited ---_Due -_- _ _ ------- ----- - ----- ---------- - . 00 Permit Fee Total 62 . 00 62 . 00 00 . 00 Plan Check Total . 00 . 00 4 . 00 4 . 00 . 00 . 00 Other Fee Total Grand Total 66 . 00 66 . 00 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY CF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t _ - PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,. FL 32233 Ph(904) 247-5826 Fax (9 4) 247-5845 JOB ADDRESS: S' s �Gr- 2G'r&6 e PERMIT## NEW O REPLACEMENT I ALLATION: ProjectValue$ TYPE OF IXTURE QTY T rPE OF FIXTURE QTY Bathtub S ptic Tank& Pit Clothes Washer S �— Dishwasher < ower Drinking Fountain Sop ink Floor Drain Tree Compartment Sink Floor Sink T flet Hose Bibs final Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory ater Heater Other Fixtures later Treating System RE-PIPE: TYPE OF FIXTURE QTY YPE OF FIXTURE QTY Bathtub eptic Tank&Pit Clothes Washer hower Dishwasher hower Pan Drinking Fountain lop Sink Floor Drain 1hree Compartment Sink Floor Sink oilet Hose Bibsrinal Kitchen Sinkacuum Breakers Laundry Tray 'Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease In erceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads Well * ** 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 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 lWf5- _ Phone Number Z Plumbing Company C- C�(�CJ ��+�� Office Phone 7cicl'660� Fax 7-L13_117'30 Co. Address: _ City �X Stater Zip3 ZZ y License Holder(Pric / State Certificatio Registration#G�G0S70y7 Notarized Signature of License Holder ed before ^ this day o .ran 20 Z_ •ey''•. SHIRLEY L. nUndewriters Alg, � Pub is ; EXPI Febru .fi p ' Bonded Thtu Notary P i