Permit Plbg Bdg 9 1085 Atlantic Blvd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001217 Date 9/12/12
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 9
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Water Heaters All Repipe #91, 92, 99, 100
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Owner Contractor
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1085 ATLANTIC LLC ADVANTAGE PLUMBING
5118 N 56TH ST 880 MAYPORT RD
TAMPA FL 33610 ATLANTIC BEACH FL 32233
(904) 247-9848
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . 10 WATER HTRS, REPIPE
Permit Fee . . . . 237 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/11/13
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Special Notes and Comments
New water heaters in all 10 units,
repipe units 91, 92, 99, 100 only
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 3 . 56
STATE PLBG DBPR SURCHARGE 3 . 56
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 237 . 00 237 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 7 . 12 7 . 12 . 00 . 00
Grand Total 244 . 12 244 . 12 . 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
/,�J Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: t�'
-4LL, &Jc� )qLL&-'7 '71 PERmrr# 1,2-
.1 - -
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFixTuRE QTY TYPE oFFixTuRE 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 W
Other Fixtures Water Treating System
RE-PIPE:
C-9011-S CflJ 9.�-) qq'
TYPE OF FmMjw QTY TYPE OF FIXTuRE QTY
Bathtub q 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:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
ii Lawn Sprinkler System-Number of Heads 1:1 Well
**&IRWD Well Completion Form. Completed form to be submitted to the-Building Department for final inspection."
o Other
pended or abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is sus
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 J� Phone Number
Plumbing Company ........ &Tab�VW(g Office Phone o1q 7-�t2jf i Faxc2jZ-9�
Co.Address: City c-t-, StateR Zip z?22 1?
License Holder(Print): 40 State Certification/Registration#CTZJ!��'760
Notarized Signature of License Holder
Sworn and sil ed=bre is -F 20
is /d of
Signature of Notary Publi