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
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Application desc
15 FIXTURES
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Owner Contractor
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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
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 160 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/26/12
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 .40
STATE PLBG DBPR SURCHARGE 2 .40
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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