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Permit Pool Bath Plumbing 1085 Atlantic Blvd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001406 Date 10/10/12 Property Address . . . . . . 1085 ATLANTIC BLVD Tenant nbr, name . . . . . . POOL BATHROOM Application type description COMMERCIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16984 ---------------------------------------------------------------------------- Application desc pool bathroom ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 1085 ATLANTIC LLC WHYRICK BUILDERS INC 5118 N 56TH ST 4242 LEXINGTON AVE TAMPA FL 33610 JACKSONVILLE FL 32210 (904) 226-3434 --- Structure Information 000 000 BATHROOM REMODEL Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . MIKE SANVILLE PLUMBING INC Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/08/13 ---------------------------------------------------------------------------- Special Notes and Comments need noc 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 T PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILI)ING 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: 9f ke6�1 C dKi 4 PERmirr# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF FixTuP.E 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 FmTuRE QTY TYPE oF FrxTuRE 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: 0 Sewer Replacement o Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans) F1 Lawn Sprinkler System-Number of Heads 0 Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fmal 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 'A�ef_ V &621 j��120Z Office Phone ?Q�t N Wg[Fax_X&7f��r Co. Address: -7 Wls,� _T�i ;6, — _Zip`1290�- city StateR License Hold r (Print): ;!111 e! . Ut I te rtification/Rggistration C EC-0—L? Notarized Sigc*ture of License Holder Y G AHA 9 7WS SSION 1 0 S.�.br. r 4 2 14 ta"I P, "U J r�'r'81 N=c SHIPLEY L,GRAHAM l lyS 0�' WkWISSION POD 957760S m and subscribed befor ,;l m thi ay o FE r e EXPIRES:February 14,2014 n B., d Bond d^rbru Notan]Public Underwrigi ature of Notary Public