Permit Plumbing 450 Mako Dr 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001191 Date 9/17/12
Property Address . . . . . . 450 MAKO DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 34200
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Application desc
KITCHEN & BATH REMODEL
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Owner Contractor
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MILLER, RICHARD J TRI-H CONSTRUCTION LLC
450 MAKO DR 11215 ST JOHNS INDUSTRIAL PKWY
ATLANTIC BEACH FL 32233 UNIT 10
JACKSONVILLE FL 32246
(904) 545-9978
--- Structure Information 000 000 KITCHEN & BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . HARRY L HAYES PLUMBING INC
Permit Fee . . . . 76 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 3/16/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 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,/I.tlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOBADDRESS: L45(�) M_cJrQ.> 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 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
F-1 Sewer Replacement F1 Back Flow Preventer F1 Grease Interceptor(Trap) gallons(Requires 3 sets of planq)
F-1 Lawn Sprinkler System-Number of Heads 1:1 Well
** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.
El 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 Phone Number
Plumbing Company �4 cn,C-r L_ ffi c e Pho ne'/e, 7 Z-5;-
Co. Address: 'z
� I b(-,*r ,zj_tkA A,_1 cl- city State F-V Zip 32. A\
License Holder(Print): 4 ca- State Certification/Registration#CP�---141-1 Z_'-5F
I J
Notarized qignature of License Holder
SHEREE 7UNTER Swo and Iscril4d-before me this V-11 day of 20 %Q
Me
Notary Public-State of Florida
MY COMM.Expires Jul 26,2013 Signature of Notary Public
Commission#DD 911067
Bonded Through National Notary Assn.