Permit Plumbing 465 Inland Way 2012 uj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000748 Date 11/30/12
Property Address . . . . . . 465 INLAND WAY
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 340000
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Application desc
new home
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Owner Contractor
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LEWIS TODD IRA MCCUMBER HOMES INC
1930 TARA CT 1280-B N PONCE DE LEON BLVD
NEPTUNE BEACH FL 32266 ST.AUGUSTINE FL 32084
(904) 823-1900
--- Structure Information 000 000 SINGLE FAMILY DWELLING
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit PLUMBING PERMIT
Additional desc IRRIGATION - 49 SPRINKLER HDS
Sub Contractor UNITED LANDSCAPES
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/29/13
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Special Notes and Comments
FILL INSTALLED PRIOR TO PERMIT
SEPERATE PERMIT REQUIRED FOR GAS TANK,
GAS PERMIT FOR OUTLETS ONLY
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
FOR AN APPROVED FINAL MECHANICAL A/C INSPECTION, A STICKER
SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE
BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST
INSPECTION" FROM AND INDEPENDENT TESTING AGENCY.
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
PERMIT I!EjmwSw\,EEDaoblymete]GRIDBNITI$aMnT(:bVq-k4 'W S �fI �I �C`9 �HE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
► ;: ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 3
Application Number . . . . . 12-00000748 Date 11/30/12
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 10 .48 10 . 48 . 00 . 00
Grand Total 72 .48 72 .48 . 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
i Q
Ph (904) 247-5826 Fax (904) 247-5845 *11
�a-
JOB ADDRESS: Jti L-�^' � `� -2_2 7�>�3 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
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 ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
IVLawn
Sprinkler System-Number of Heads [I_ Well
p
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Fi 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 �'� < <� � �� '�e S Phone Number
Plumbing Company /n I r i i-r A Cr 2�t 5 Office Phone t "1 Z>5 Fax
Co. Address: � kG lA�.A�{ �''t City -4 Aj;,>(IA f_ State 1"L Zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
=COMITCHELLPS Sworn and subscribed before me this -3U day of lV60e .he.T 20 iEE=562,2015 ate Insurance Signature of Notary Public