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Permit Plumbing 456 Irex Rd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ` INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001695 Date 11/21/12 Property Address . . . . . . 456 IREX RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------- Application desc REPIPE 14 FIXTURES AND SEWER REPLACEMENT ------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CORNERSTONE HOMES LLC B & G PLUMBING 8323 RAMONA BLVD W STE 6 2232 CORPORATE SQUARE BLVD JACKSONVILLE FL 32221 JACKSONVILLE FL 32216 (904) 223-3585 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . SEWER REPLACE/14 FIXTURE REPIP Permit Fee . . . . 160 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/20/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 .40 STATE PLBG DBPR SURCHARGE 2 .40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 80 4 . 80 . 00 . 00 Grand Total 164 . 80 164 . 80 . 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)(2247-5826Fax (904) 247-5845 JOB ADDRESS: J Cz:j .E'–l� 4L.0 V41 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTD QTY Bathtub Septic Ta Pit Clothes Washer Sho t Dishwasher wer Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink �/' oilet Hose Bibs Zkl— Uri Kitchen Sink /� Vacuu eakers Laundry Tray Water Conne d Appliances I Lavatory :.-'�_ Water Heater Other Fixtures Water Treating Syste RE-PIPE:` TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 1 Septic Tank&Pit Clothes Washer i Shower Dishwasher Shower Pan i 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: Xwer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ 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 b ( 0 Office Phone-)d 3'-3,5 8 Fax a3�3~ `75 U Co. Address: 2 33 &Ok C� Q -a, e- �,it,��, City ��,� (�5�. �� State��Zip License Ifolder : Print � � �� ' ( ) �. � State Certification/Registration# S9,3 N r ,.u�u,q �LORI S. NO :;rA"JW ytic's orn and subscribed before his �' ay of QVg� 201of . MY Com. M a Canmissioe 0 EE nature of Notary Public kmmd ilww*N>tn d PLUMBING PERMMIT ,APPLICATION CITY OF ATLANTIC BEACH S00 Seminole Rd Atlantic Beach,FL 32233 Gq< Ph(904)247-5826 Fax(904)247-5845 PE T JoB ADDRESS: NEW OR ,PLACEMENT INSTALLATION: Project Value$ I'yp,r., OFFaruRc. QTY Ty ZOF.'IXTURE � QTY a tub eptic Tanis&Pit Clothes Washer : Shower �.L. A16C 4, C Shower Pan I lr_.---- Dishwasherlop Sink Drinking Fountain ee Compartment Sink I Floor Drain --- Toi Floor Sink Urinal Kitchen Bibs — Kitchen Sink Vacuum B ers _.. Laundry Tray Water Connec ppliances 1— Lavatory Water Heater _ Other Fixtures Water Treating Syste E RE- TYPE, o.FFIXTUR.0 QTY TYPE o,FFIXTURE' QFY D, Bathtub 1 Septic Tank&Pit Clothes Washer _y_ Shower — Dishwasher r Shower Pan 1— Drinking Fountain Slop Sink Floor Drain Three Compartment Sink I Floor SinkToilet 17— Hose Bibs �— Urinal Kitchen Sink r _ Vacuum Breakers I Laundry Tray Water Connected Appliances Taavatory �. Water}Neater Other Fixtures Water Treating System I0 MISCELLANEOUS: s ewer Replacement Ci Back Flow Preventer ❑ Grease Interceptor(Trap)___,__.gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Reads _ ❑ Well artm t for final ins ection.* ** SJRWP Well Completion Form. Completed form to be submitted to the Building Dep P ❑ Other 1 Permit bcoetines 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 consttvction or a performance of construction. 11 Property Owners Name Phone Nu ber Plumbin4 Company .,� C) Office Phone-)g 34 6 Fax 2-7, ` 7 D Co. AddrIess: u�a- G ••a� \!� City �•' ;a �t . State�J 7•ip 3'P l L 1 .r License older Print): a�e,-- State Certificatiory egistiation# CrL o_��;�93 � ( der . � I LORA Nott a Naary Public•BbtM o1 + ons.and subscribed before bis 114 ayof ©V5r�W�� 20 1O� ' x lYh►Catn►n.Exl"MW 10,2016 ` COMM1961 +•EE 1""? p�w� 9andea Ihrou9ti M+ltoiut N1r ignature of Notary Public G /� # 09LEEZZti06 9ti85LbZ o1 6uigwnld J Pue s:woad, 9ti B0 Z6-tib-11