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805 Plaza 2013 sewer replacement CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00001933 Date 1/03/13 Property Address . . . . . . 805 PLAZA Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1150 ---------------------------------------------------------------------------- Application desc SEWER REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- AUGUSTINE MI YOUNG LEE & JAMES DAVID GRAY PLUMBING INC. 805 PLAZA 6491 POWERS AVENUE ATLANTIC BEACH FL 322333809 JACKSONVILLE FL 32217 (904) 724-7211 -------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . SEWER REPLACEMENT Permit Fee . . . . 62 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/02/13 ---------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information System,sCFFY 0 904-247-5845 p.1 PLUMING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Be" FL 32233 Ph(904) 247-5526 Fax(904) 247-5845 JOBADDRESS: .5 /�L, z/� JPERYITY 9 o_ < �z � �wP�.A��EI '�1�T iSTr1 .r�ta'I0project Value TYPE oi--Fj=PE QTY TYPE OF FICVTi1RE CITY Bathtub Septic Tank&Ph Clothes Washer Shewer -DishwasLerer Shower P-an Drinl6ng Fountain SlopSink Floor Drain Thre Compartment Sin-' Floor Siam: Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Nater Connected Applia~acrs LavatoryMater Heater -MerFixhsres S�kJ44 —j— Mater Treating System TYPE OF F'€UT)-.?E TYPE©.FSE QTY Eathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking ri untag' SLOU SL^-C Floor Drain -- Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sir7- Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Wate.-Heater Figures Water Treating System Other MISCELLANEOUS Sewer Replacement C1Ba.9 k Flow Presenter ❑ Grease Interceptor(Trap) _gallons(?�euu_z,�3 sets of pa ��3 ❑ Lave Sp-n&der System-N=ber of Heads ❑ Well STIZFirD dell Campletio,.Worn. Completed forth to be subrr±itted to t':e Builth Department fur final i spectior_. ❑ Other becomes s•oid if work does not commerce within a six month period or wcec is ssspe.ded or abandoned,or sic months 1 hereby c try i ar 1 have rye this dpi cation and know the same to be true and cor-c=. All provisions of lases and ordinances governing tris war,-will to cornplied with whether speci{i.,d or not The permit does not give authority to violate the provisions of any other state or local IxN regulation construction or the perforsance o:constnrction. Prcperty Owners Name �'�i cli✓6— Ph©ne Plumbing Ccrnpany gaar � 'rzki Plumbing, Inc, O�'re Phone A� 7� � Fax-7 i:orp'n',..1.p, ..:ouartr couirt C-0. rA State ddress: _ _ _ 4 y Cltj Zip License Halder(Pri:nt); State Certification/Registratdon-4 Notarized S4naitare of License Holder S-xorn and subscribed before me this d f--Y' =01'*Y PV�^ VA Notary Public state of Florida Signature of Notary Public Neal R Major c� My Commission EE032510 �'f or 10 Expires 1 212 012 0 1 4