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Permit Plumbing 1844 Sea Oats Dr 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001853 Date 12/20/12 Property Address . . . . . . 1844 SEA OATS DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Replace 2 Fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAGOY, EDWARD CHRISTY FIRST COAST PLUMBING 1844 SEA OATS DRIVE 1651 MAYPORT RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . REPLACE 2 FIXTURES Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 Expiration Date . . 6/18/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 73 . 00 73 . 00 . 00 . 00 PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA RUfflorNGCOJOES. PLumiBiNGPEPmwAPPLicATioN Cirry oF ATLANTic BEAcH 800 Seminole Rd Atlantic Beach,Fl,32233 Ph(904)247-5826 Fax(904)247-5845 4- JoB ADDRESS: PERMrr# NEW OR(IgTLACEMZN�T NSTALLATION: Project Value$ TYPE oF FbauRE QTY TYPE oF FnriuRE QTY Bathtub t 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-PIEPE: TYPE oF FmmRE QTY 7)rpEoFftaum 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 Fbdures Water Treating System AUSCELLANEOUS: • Sewer Replacement o Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) • Lawn Sprinkler System-Number of Heads 11 wen **&IRWD Well Completion Form. Completed formto be submitted to the ffu—ilding Department for final inspection." [I Offier 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 correm All provisions of laws and ordinances governing this work will be complied with whedw speeffied or not The permit does not give ai!�ority to violate the provisions of any other state or-local law regulation construction or the performance of construction. Property Owners Name Phone Number q51—E9k 1/7h -)*4 1651 Maypcd Road Plumbing Company,.L-/�. .r-fL L Office Phone qfaxd7�q�� Co.Address: Aganbc Beach, FL 32233 city State Zip License Holder(Print): I Z4 /&I State Ce046tion/Registration# Noftrized S&wature kense 0 MEYOMCHNSTY and qu�scrf(wd day Of—�V' L 20-LL– #DD 873293 MY COMA&ION k-��,*f EXPIRES:JWy 21,2013 Signature of Notary ic Borded Thru Notary Pubk UmWmkm U