Permit Plumbing 2337 Beachcomber Tr 2012 t N CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001504 Date 10/26/12
Property Address . . . . . . 2337 BEACHCOMBER TR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 800
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Application desc
BATHROOM REMODEL
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Owner Contractor
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CUNKLE CURTIS & JULIA H RADON PROFESSIONAL SERVICES
2337 BEACHCOMBER TRAIL 336 14TH AVENUE NORTH
ATLANTIC BEACH FL 322336608 JAX BEACH FL 32250
(904) 246-8970
----------------- Structure Information 000 000 ----------------------
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor TDG PLUMBING
Permit Fee . . . . 76 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 4/24/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILD&G 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: 'IrA Z L- PERMIT#
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 Shower
D�shwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hbse Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Ei Sewer Rep lacement F-1 Back Flow Preventer Ei Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
El Lawn Sprinkler System-Number of Heads El Well
SJRWD Mell Completion Form. Completed form to be submitted to the Building Department for final inspection."
F-i 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_kt-nbe Revav,,X Phone Number
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Plumbing Co M� pany
Office PhoneJ"4 4 Fax S-4 4 - r*Er
Co. Address: U%-is
City-Z81- state RL Zip "S.Jjq.�6
License Holder (Print)- State Certification/Registration C FC-1141-100-
Notarized Skno i
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My GOPAWSSIO��DID 957760
'WrIES:Fpbr �mqfgi�]Ln( or e t ii's -1
subscribed befi da of Qr,'�7- 201Z=�_
Boded ffirts Wxy Public Underwriters
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