Permit Int. Remodel 1719 Beach 2012 v i CITY OF ATLANTIC BEACH
r � 800 SEMINOLE ROAD
J =.". ATLANTIC BEACH, FL 32233
�.." ������ I NSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000793 Date 7/18/12
Property Address 1719 BEACH AVE
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 100000
Application desc
interior remodel
Owner Contractor
MULLARKEY MICHAEL & ELIZABETH GATEWAY BUILDERS, LLC
1719 BEACH AVE 172 PELICAN REEF DRIVE
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32080
(352) 266 -5878
-- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type RESIDENTIAL
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . TURNER PLUMBING CO.
Permit Fee . . . 160.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/14/13
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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: / / ?yach 1 Va nu PE RMIT # j - -761-
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub a. Septic Tank & Pit
Clothes Washer 1- NO Shower
Dishwasher ARcilAce Shower Pan - I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet Ni 3Z(PtACCreC
Hose Bibs Urinal
Kitchen Sink i p AC.e,Yr‘trk Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory t Mix) ik n - Water Heater
Other Fixtures �iz. L•Iw.. Water Treating System
RE -PIPE: l(pll►cevrtvck-
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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
ri 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 ti.1.11 lc' - rvi 1 Ic-w Phone Number
Company J
Plumbing '� I //
g p y ft(gneg `I If.(Y11�j/1 ( Office PhoneL 9fr_7O/ Fax I,- ....7�17�p
Co. Address: IgO,2) )e�� 1(K5 A e 11 L( 'L. City W , -0n of k State F Zips, _
License Holder (Print): l.-') A h (3 . 1c.ti i A - t..../ - State Certification/Registration # C FL 0 Z-9 i 4 LP
Notarized :: - -----
- �-- --�=- --- -• - - -- . -„ �
: SHI L. GRAHAM
A'
. u n� , Mr' r, r roM ssio DD sSao I and subscribed be e m I % d
,. EXPIRES: February 14 y 20 ilk :;;r 4.:V Bonded Thru Notary Public Underwriters _ j '
-fl--‘" - _ re of Notary Public �j Or N.
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