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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 ---------------------------------------------------------------------------- Application desc REPIPE 19 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ETHERIDGE STEEG PLUMBING 2206 LAUGHING GULL CIR 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 82 STATE PLBG DBPR SURCHARGE 2 . 82 ---------------------------------------------------------------------------- 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 Cl- I --/- ---17 — VotarizedOLL7 ------ y UJ &-f-IZI 111JAh WJMAH AMANUA W M COMMISSION 0 EE EXPIR�S:May 21,9FM suhsc-ril-�/A before e d BWW ThN Notaly NbIle Undewftors e e of Notary Public