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Permit Plbg Repipe 310 8th St 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -tea 0 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000817 Date 6/29/12 Property Address . . . . . . 310 8TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 15 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WILFUR HAROLD N ESTATE OF WATSON PLUMBING C.0 SUSAN M MCEUEN 4456 SUNBEAM RD # 200 346 RALEIGH RD JACKSONVILLE FL 32257 JACKSONVILLE FL 322256557 (904) 889-6840 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 160 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/26/12 ---------------------------------------------------------------------------- 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:_3 t n 21 r'VA-�N sz:6 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 —7— Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _1 Water Heater Other Fixtures 1A Water Treating System MISCELLANEOUS: Fi Sewer Replacement E:1 Back Flow Preventer [:i Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads 1:1 Well **SJRWD Well Completion Form. Completed form to be submitted to the—Building Department forfinal inspection." F-i Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mo nths.I hereby certify that I�haveread 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 WNA-50ti 69&-6 118"4C6�5!,AT -�',V Phone Number c1,25- 540q Plumbing Company W kAso r', \)�UnQW_G­3 Office Phone 737-(6337 Fax 2�9-(WV Co. Address: 44S/n-a00 S U A b5 no-, city.-'Imc, State 0 Zip_3aOIS 7 License Holder(Print): _[)O� Liot4' rtification/Registration# CPC 057Gb4 Notarized Signature of License Holder WANDA Y.GlJdss� om and subscribed V, before mais day of 20 'E S07W 7 S e, Commission#EE 070987 ,$d Exores Apdl 16,2015 V, gnature of Notary Public B=W 11n Tmy Fain Irenrce WM85-701