Permit Plumbing 2206 Laughing Gull Cir 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001463 Date 10/08/12
Property Address . . . . . . 2206 LAUGHING GULL CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE 19 FIXTURES
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Owner Contractor
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ETHERIDGE STEEG PLUMBING
2206 LAUGHING GULL CIR 1601 MAIN STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPIPE 19 FIXTURES
Permit Fee . . . . 188 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/06/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 82
STATE PLBG DBPR SURCHARGE 2 . 82
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 188 . 00 188 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 64 5 . 64 . 00 . 00
Grand Total 193 . 64 193 . 64 . 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: r PERMIT
1
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FLYTuRE 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:
TITE oF FDavRE 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
Hqse Bibs 77— Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
i
MISCELLANEOUS:
0 Sewer Replacement o Back Flow Pre-
,_jx tj 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
n Lawn Sprinkler System-Number of Heads El Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department forflinal inspection."
o Other
Permit becomes void if work does not commence within a six month period or work is suspen ed r abandoned for six months.I hereby certify that I h e 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
Dr not 'Me 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 62 1�4 Office Phone 01- 5? Fax ,��
Co. Address: city Stat -2,3
Zip
License Holder (Print): . Irryn State Certification/Registration#e
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