Permit Plumbing 1042 Snug Harbor Ct 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00001805 Date 12/12/12
Property Address . . . . . . 1042 SNUG HARBOR CT
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
repipe 10 fixtures
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Owner Contractor
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WHITACRE, BEVERLY L PLUMBING BY JOSH
1920 THE WOODS DR 5677 FLORAL AVE
JACKSONVILLE FL 322461081 JACKSONVILLE FL 32211
(904) 745-3330
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/10/13
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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
PERMtT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILD�ING 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: L?L'LA r3 v PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value s A-2,0 C-
TYPE OF FixTURE QTY TYPE OF FixTURE QTY
Bathtub Septic Tank&--Pit
Clothes Washer S�er
Dishwasher ____-�Shower Pan
Drinking Fountain Slop Sink
.... ........5 1 "u
Floor Drain Three Compartment Sink
Floor Sink Toilet
j
Hose Bibs Urinal
j
Kitchen Sink Vacuum Breakers
Laundry T Water Connected Appliances
v
La Water Heater
'.01� i 11
er 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:
E Sewer Replacement 11 Back Flow Preventer 11 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads P_ Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
f-i 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 8-C mbe I y 1^��n1da Phone Numbep��- S 204
Plumbing Company PJV/16Q' q -Office Phone,7V-S-,?33(2 Fax
Co. Address: -4-6 77 P10,601(19,7e- city State F I- Zip
License Holder(Print): State Certification/Registration # CF<_ 0430's q_
Notarized Signature of License Holder
Sworn and subscribed be ore his 2—day of E 2oL'z
Signature of Notary Publi es
0