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
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Application desc
repipe 14 fixtures
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Owner Contractor
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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
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 153 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/23/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30
STATE PLBG DBPR SURCHARGE 2 . 30
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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.
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W1, , er�nt.
Bonded Thru Notary Mic U Iderwiters