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Permit 1648 Sea Oats Plbg fixtures 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 's 0%' ' INSPECTION PHONE LINE 247-5814 Dill, Application Number . . . . . 12-00001224 Date 9/13/12 Property Address . . . . . . 1648 SEA OATS DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADDITIONAL PLUMBING FIXTURES (8) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PERRYE JEFFREY H & TINA R. ADVANTAGE PLUMBING 1648 SEA OATS DRIVE 880 MAYPORT RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 111 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/12/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111 . 00 111 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 115 . 00 115 . 00 . 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 122- Ph(904)247-5826 Fax (904)247-5845 JOB ADDREss: LIS 6'eel e2 r,/ 5 PERMrf# 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 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 Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: • Sewer Replacement C3 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pbns) • Lawn Sprinklex System-Number of Heads Ei Well **SJRWD Well Completion Form. Completed form be submitted to tFe-Building Department for final inspection." o Other Permit becomes void if work does not commence within a si mo same to x nth period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified ornot. The permit does not give authhwky to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company Office Phone--_-5�_'r_L_C4&1 Fax �Z_233 Co. Address: city State zip License Holder(Print): State Certification/Registration#(T Notarized Signature of License AoldsgJ stu/sW60'Gi0xv "W40 Swom and subscribed befl this day of 90LOV33 U01WWWOO AV# 20 u&AoueA s jaj!uuar appoij 19%91S:q1qnd AiMON Signature of Notary Public E RE