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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 ---------------------------------------------------------------------------- Application desc new home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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