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1820 N Sherry Dr 2012 plumb $ .. t, CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . 12-00001546 Date 10/22/12 Property Address . . . . . . 1820 N SHERRY DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------- Application desc 11 Fixtures -------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MAGLEY, KIMBERLY E CHRISTY FIRST COAST PLUMBING 1820 NORTH SHERRY DR. 1651 MAYPORT RD ATLANTIC BEACH FL 322334517 ATLANTIC BEACH FL 32233 (904) 247-4419 ---------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . 11 FIXTURES Permit Fee 132 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 4/20/13 ------------------------------- Other Fees . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 132 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 136 . 00 136 . 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: c ( 11� �� PERNIIT# 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 —L_ Shower Dishwasher I 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 — '4— 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 ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ 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 ��, Q G Plumbing Company 5 1 51 a r Road Office Phone C Fax C Co. Address: .0 , /j Atlantic Beach, FL 32233 City State n zip State ertifica � e istration#e g License Holder(Print): g Notarized Signature of License oder ` . �.� day of �� 20 — � - JULIE YOUNG CHRISTY Sworn and subscrib befo me 's * k MY COMMISSION#DD 873293 EXPIRES:July 21,2013 Signature of Notary Public � � `' Banded Thru Notary Public Underwriters Oct 22 12 09:26a Christy First Coast Plumb 9042494660 P,1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax (904)247-5845 ff JoB ADDRESS: '1 �`� t 1� PERMIT# NEW oR REPLACEMENT INSTALLATION: Project Values TYPE OF FXXTURE 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 FIXT uRE QTY TYPE OF FaTURE QTY Bathtub -Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan SlopSink Floor DrinkingFountain Drain Thre Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry TrayWater Connected Appliances Lavatory — Water Heater Other Fixtures Water Treating System MISCELLANEOUS: o Sewer Replacement o Back Flow Preventer o Grease Interceptor(Trap) gallons (Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads ❑ Well ** ** be submitted to the Building Department for final inspection.** SJR WD Well Completion Form.Completed form to o 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 Nance +i�+�. M a'c �4- a Phone Number Plumbing Company Road Office Phone Fax Co.Address: (.eY 1ir Atlantic Beach, FL 322 city stag zip _;�g License Holder(Print): State ertifi egistration# 6�c/6 Notarized Signature of Liccenwse oder �Q ------ - ��Lfi 20 1� .roue voyr cyl�srr Sworn and subscri befo me s 6�_ l' day of a ,�,, •: MY CbANNlS$HNl�DD B732S3 � •�.. = € P1REs;jwy 21,20 a Signature of Notary Public ''::; Brniletf IN raary Fubllc Una�v+rrcers