Permit Plumbing 1034 Big Pine Key 2013 "I ;-� J
St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001914 Date 1/02/13
Property Address . . . . . . 1034 BIG PINE KEY
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
13 fixtures
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Owner Contractor
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HEFFNER PHILLIP L AND BARBARA STEEG PLUMBING
1034 BIG PINE KEY 1601 MAIN STREET
ATLANTIC BEACH FL 322334363 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 146 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/01/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19
STATE PLBG DBPR SURCHARGE 2 . 19
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146 . 00 146 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 38 4 . 38 . 00 . 00
Grand Total 150 . 38 150 . 38 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLLTYMING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
PERwr
JOB ADDRESS: laq-�y / f
NEW OR REPLACEMENT U��STALLATION: Project Value$
TYPE oF FIXTURE OTY TYPE OF FIXTURE ory
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
TYPE OF FDJVRE 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
Water Heater
Lavatory
Other Fixtures Water Treating System
MISCELLANEOUS:
El Sewer Replacement Ei Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plai
D Lawn Sprinkler System-Number of Heads— El Well
*-- SJR WD Well Completion Form. Completed form to be submitted to the Building Department for ftal inspection.
Ei Other
c have,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby ertify that I have i
. this work will be complied with whether sPecif]
this application and know the same to be true and correcL All provisions of laws and ordinances governing structi
or not. The permit does not give authori to violate the provisions of any other state or local law reguMon r-onstruction or the performance of con 01
14
Property Owners Name L-41tul�- V rT— Phone'Number
Office Phone _,7911-j�I�Fax
Plumbing Company
State zipl!��&
City
Co. Address: J
State Certification/Registration
License Holder (Print):
Alatariz I F41 r
f DD 957760 Of 2013
0,
y 0 sc—Libe beio 'i this
-S,i-Abruary 14,2014 S- rn an
junidT,, 'c U"de_'�'t.j
AF Wary Public uidei*ters
iature OfNotary