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Permit Plumbing 1834 Ocean Grove Dr 2012 C ITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 4'2�t' INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001565 Date 10/25/12 Property Address . . . . . . 1834 OCEAN GROVE DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc repipe 14 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WATERS ANGELA M ET AL EAGERTON PLUMBING CO. WATERS JAMES DESMOND 111 1093 N. MCDUFF 1834 OCEAN GROVE DR JACKSONVILLE FL 32205 ATLANTIC BEACH FL 32233 (904) 388-0761 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 153 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/23/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30 STATE PLBG DBPR SURCHARGE 2 . 30 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 153 . 00 153 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 60 4 . 60 . 00 . 00 Grand Total 157 . 60 157 . 60 . 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 OB ADDRESS: 06e4n roIC DA PERmrr �EW 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 Fbftures Water Treating System M-PIPE: TYPE oF FaTuRE Qff 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 -3 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fbftures Water Treating System HISCELLANEOUS: D Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor (Trap) gallons(Requires 3 sets of plans) Lawn Sprinkler System-Number of Heads o Well SJRWD Well Completion Form. Completed form be submitted to the Building Department for final inspection." �j 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 AnqLOA 1f,44iers Phone Number/-7/?—400 ;01,f 1 3,fg.0 7(,p/ Fax PlumbingCompany E&Aerfe,' Office Phone 3V- Co. Address: koct S r') M C D 4C AV e city JOK State-FL- zip -T License Holder (Print): hamd15 State Certification/Registration# 6Fe 11146,302 Notarized Signature of License Holder 20 worn and subscribed before me this day of 0613P BRAW L HZLMES MY COMM I SSIIDNHO#LEME E0,2479 1J. t 0 n' 06 01 ar,,L' s EXPIRES:June 20,2014 ignature of Notary Public. P W1, , er�nt. Bonded Thru Notary Mic U Iderwiters