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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 ---------------------------------------------------------------------------- Application desc KITCHEN & BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- 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.