Permit Plumbing 1085 Atlantic Blvd Bldg 3 2012 Nj
CITY OF ATLANTIC BEAV..H
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00001723 Date 11/20/12
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 3
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
10 water heaters replacement
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Owner Contractor
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1085 ATLANTIC LLC ADVANTAGE PLUMBING
S118 N 56TH ST 880 MAYPORT RD
TAMPA FL 33610 ATLANTIC BEACH FL 32233
(904) 247-9848
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/19/13
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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 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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: — Z22_1�Z<_ ALL AJ,,,L, --% / - 1��3
W6-#,3 PERMIT# i
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFYxTuPx QTY TYPE oFFixTuRE 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 to
Other Fixtures Water Treating System
RE-PIPE:
TYPE OFFIXTuRE QTY TYPE OFFIXTuRE 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:
• Sewer Replacement E:i Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads o Well
**&JR WD Well Completion Form. Completed form to be submitted to the—Building Department for final inspection.
El 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 S
I I I ---/ — Phone Number
Plumbing Company 4Y& Office Phone CAY 7�!W Fax
Co. Address: e�",4�O 112p�j/M12
City eZL, Ae—J, State
/ I lc4 zip
License Holder(Print): ,qoe,2�,JA State C cation/Registration Z01? i
Notarized Signature of License H-6-41der
e" e this day
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COMRSSION 4 DO 957760
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