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1633 E Park Ter 2012 repipe C" CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001714 Date 11/19/12 Property Address . . . . . . 1633 E PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc Replace 8 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HERZOG, ELIZABETH LARRY TEAGUE & SONS 1633 PARK TER E 203 OCEANFRONT ATLANTIC BEACH FL 322335846 NEPTUNE BEACH FL 32266 (904) 270-2289 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . NEW/REPLACE 8 FIXTURES Permit Fee . . . . 111 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/18/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111 . 00 111 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 115 . 00 115 . 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 PERMIT# JOBADDRESS: W- , c NEW OR REPLACEMENT INSTALLATION: Project Value$ 00 TYPE OF FixTuRE QTY TYPE OF FixTU;E QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Stop 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 n1r" Water Treating System RE-PIPE: 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 MISCELLANEOUS: o Sewer Replacement Ei Back Flow Preventer [-i Grease Interceptor (Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads D Well SJR WD Well Completion Form. Complete&—form to be submitted to the—Building Department for final inspection." lap 47FCA M' ii Other y I Permit becomes void if work does not commence within a six month period or wo-A is suspended or abandoned for six months.I 7reby certify that I have read provisions of laws and ordinances governing this work will be complied with whether specified this application and know the same to be true and correct. All rf rmance of construction. or not. The permit does not giv"u h ity t olate the provisions of any other state or local law regulation construction or the pe o .�onty,0-Vi '. 1 11. 1 Phone Numberlo(0—5%0-uld) Property Owners N e IL Fax'71 Lq Plumbing CompanyLarr 41 M I A ffice Phone X7 0-2Z'hq A-7 Co. Address: ity�ff�StatJ!_Zip�V4�_ License Holder(P nt): 0 S&C�,ertification/Registration# 215 2 q atari7ed Signatu gf LLcense older - MELANIE A.DARLINGTON ore me this d of 20jl-z-- Sworn and subscribed bef MY COMMISSION#EE1987M 1%.W_ EXPIRES May 16,2D16 Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003508 Date 10/09/13 Property Address . . . . . . 1633 E PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 8 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HERZOG, ELIZABETH PIPE WORKS LLC 1633 PARK TER E 8430 THORNTON CT ATLANTIC BEACH FL 322335846 JACKSONVILLE FL 32221 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 111 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/07/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111 . 00 111 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 115 . 00 115 . 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 PJiJ904) 247-5 826 Fax (904) Y7-5 845 JEZ_ JOB ADDRESS: //,,7 5 1 _3 le OCe PERMIT 4 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 7) RE-PIPE: 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 AWCELLANEOUS: JWwer Replacement 11 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads o Well ** SJRWD Well Completion Form. Completed fonn to be submitted to the Building Department for final inspection." Ei 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 ' ��5 -Office Phone9O 79-f?,,4�_ City State Zil Co. Address:Z2-zl— Ala V License Holder(Print): eL e- I (P 'State Certification/Registration#119Z, Notarize 0MMiSSI0N#DD957760 EXPIRES:February14,20VS rn and subscribed befLore Jis of 2(0 ic Underwriters Bonded Thru�otaq Pub] Signature of Notary Publi 667