Sewer 1771 Beach Ave 2011 ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J =�` ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
k
19
Application Number . . . . . 11-00002093 Date 5/17/11
Property Address . . . . 1771 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
TIE IN TO CITY SEWER
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Owner Contractor
------------------------ ------------------------
TRAGER MITCHELL AND BETH ADVANTAGE PLUMBING
1771 BEACH AVENUE 880 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247-9848
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/13/11
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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
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 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
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: ftX- PERwr#
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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**URWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Other ' ..1
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' ' r Phone Number "1
Plumbing Company i KY,, Office Phone `2Ln-%4Fax2 q D f 1
Co. Address: City State 0 Zi
License Holder(Print): 65tg653!�-4 State Certification/Registration
Notarized Signature of License Holder
MICHELLE L CREWS Sworn and subs i ed before me this day of M20A
MY COMMISSION#EE037670
EXPIRES October 26,2014 Signature of Notary Public
-Aac"
407)398 0153 FlorddallotaryServks.00m
vL�l
CITY OF ATLANTIC BEACH
r j 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002093 Date 5/17/11
Property Address 1771 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
TIE IN TO CITY SEWER
----------------------------------------------------------------------------
Owner Contractor
------------------- ------------------------
TRAGER MITCHELL AND BETH ADVANTAGE PLUMBING
1771 BEACH AVENUE 880 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247-9848
----------------------------------------------------------------------------
Permit . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/13/11
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 66.00 66.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
White, Debbie
From: White, Debbie
Sent: Wednesday, May 18, 2011 10:20 AM
To: Matthews, Carlene
Cc: Ramsay, Debra; Graham Shirley; Walker, Chris
Subject: Permit and Approved Inspection to connect to Sewer
Attachments: Permit Plbg Sewer 1771 Beach 2011.pdf
Permit is attached and Chris Walker approved the connection. FYI
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247-5826
(904) 247-5845 FAX
i
UT122I01 City of Atlantic Beach 5/09/11
Location/Service Selection 11:32:52
Location ID: 5968 Addr : 1771 BEACH AVE
Type options, press Enter .
1=Select 5=Meter svc info 6=Meter inv
Service Service Sequence Service
Opt Code Sequence Status Status Description
GI3 Active GARBAGE
ST Active STORM WATER UTILITY
WA 000 Active Active WATER VOLUME
_ WB Active WATER BASE
F3=Exit F6=Display inactive F12=Cancel
G' DEPARy'MSNT 4I'Bt�1N�i --
ee t�
CITY,Ci:ATLANllC,9WN
y
M.A-._'`_ -ryT�r .�'M+, LOCATION INFORMATION . •.T..
>rirss s. 1171 BEAMAVA'Nt�B �
r
UTILa TIEB ATLANTIC BIACH., FLORIDA` 3 '
}}�� ..y..
tlGhL DESCRIPTION
o rk: NEW
r Type: WOCD F'ARAME. LottB1ocki Section:
P .. w�r�ed Use: SINGLE FAMILY` Township RNQ#,: 0 e�
D ►e'YT in-ga: 1 Code: 0 Subdivimion: , NORTR ATLANTIC BEACH
�
1'rtimated value: $0,00,. . Improv. Cash: 0.0Q M
Total Fees $1424.00
Arnoux: $1420.00
Dat , /16194
work ba' ". 14AT'BR .SERVICE
APPLICATION FERE
--- -- �� �
TION rr�, .. ._ _.. ..
a
a ;. �T� PERMIT `$D 04
Addy AVENUE WATER, IMPACT FEE $'74.00
' I C>al FLCRII�A 2 S II IA FEE $0#40
Ph 4 Alm ;
CiA -H.R:3. .00
FOlRMATIdN `r----- RADON CAB 5% 1~0:00
Name:. L DEBAR T CAPITAL IMPROVE. $325.00
SEVER TAP $0.0a
_- - - HYDRAULIC SNARE $0 .00
Type: Q cuts 'Com"ItCT ION 4.00
SCG.FI ' IMPACT FEE $0
r ww .y1� O♦ ,rr�r :r�'�:y,..
:r
y
F�mOTICE--AELCONCRE7E I�QpMs AND FrOOTINPS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING,MATERIAL.RUSSISH AND<DESRIS FROM THIS WORK MUST RIOT B,E PLACED IN PUBLIC SPACE,AND MUST BE
Ci.EARECI'UP AND HAULED AWAY"BY:EITHER CONTRACTOR"dff OINNEii
� FAILURE.TC COMPLY:WITH THE MECHANICS' LIEN LAW CAN RESULT IN
'HE PfiOPER-11 OWNER PAYING TWICE FOR'SUIL ING IMPROVEMENTS."
116$UED;AC
Ago Ii I
CORDING,TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
IIA OF,APPLICAI�LE.PROVISION$OF LAW.'
**ANTIC EACH SUtLDiNG DEPARTMENT 00000mOOOOOIy000 33 i.OQ 57
Dates 3/15/�i OI ftts,OW411
CITY OF ATLANTIC BI;A 3 — 3 FS
Fixture Unit Worksheet for W
FIXTURE UNITS ARE ESTABLISHED AS THE MEASU 04 Ly
EACH WATER FIXTURE UNIT INSTALLED AND CONN
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY J
PER FIXTURE UNIT CONNECTED TO THE CITY WAT
BATHROOM GROUP CONSISTING OF _
WATER CLOSET, LAVATORY 6 B�
TUB OR SHOWER STALL (6)
WATER CLOSET, TANK OPERATED (4) VALVE OPH:RATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP ( )
SHOWER GROUP PER HEAD (3) i FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) 1 LAUNDRY TRAY (2)
' LAVATORY (1) COMBINATION SINK AND Ttz,- (3)
WASHING MACHINE (3) ?j POT, SCULLERY SINK. (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR )
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (G)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRA" '111-1{
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2) -
:T LAVATORY, BARBER/BEAUTY ICE MAKER (I/2)
SHOP (2)
SURGEONS SINK (3) _LAVATORY, SURGEONS '(2)
JACUZZI (2) URINAL STALL, WASHOUT (4!
TOTAL FIXTt1REUNITS �0 S' @ $20.00 EACH 0 • s` / �'b�
JOB INFORMATION r � 1� E*cN �(�� . WATER ;r
CITY OF ATLANTIC BEACH
Fixture; Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIX'T'URE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TW1•:NTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF 0 SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATt (8)
TUB OR SHOWER STALL (6)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (d)
I
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) L LAUNDRY TRAY (2) �—
LAVATORY (1) COMBINATION SINK AND TRAY (3)
—L—WASHING MACHINE (3) 3 POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (z)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4) '
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
—FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) C) LAVATORY, SURGEONS (2)
JACUZZI (2) 0 URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS_�a 'S+ @ $20.00 EACH $ S� � • D Q �/ �O'b
--_ --- -CA p ins 3
JOB INFORMATION CtI �(I • ... ------ +"��TER�Y� ���, �.
JA GJkj-t2 �o7�t—r Y �°
��
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00000492 Date 5/12/11
Property Address . . . 1771 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
SEWER DEVELOPMENT CHARGE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TRAGER MITCHELL AND BETH OWNER
1771 BEACH AVENUE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 5/12/11 Valuation . . . . 0
Expiration Date . . 11/08/11
--------------------------------------------------------------------------- -
Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4050 . 00 4050 . 00 . 00 . 00
Grand Total 4050 . 00 4050 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.