Permit Plumbing 373 12th St 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
l
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00001692 Date 1/03/13
Property Address . . . . 373 12TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . TO BE UPDATED
Application valuation . ' . . . 417000
----------------------------------------------------------------------------
Application desc
ADDITION
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DODARO, NICHOLAS & CATHY PHILLIPS BUILDERS LLC
373 12TH STREET 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL, 322335537 ATLANTIC BEACH FL 32233
(904) 349-2999
--- Structure Information 000 000 ADDITION
Construction Type . . . ' . . TYPE 5-B
Occupancy Type . . . . '. . . RESIDENTIAL
Flood Zone . . . . . . ' . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . TDG PLUMBING
Permit Fee . . . . 244 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/02/13
---------------------------- ------------------------------------------------
Special Notes and Comments
Roll off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . )
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.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Other Fees . . . . . STATE PLBG DCA SURCHARGE 3 .66
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITfWikWF'LA:'VO�CBEW13RDi lWggq DP-rHE FLORI6A 6 6
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
�'''� INSPECTION PHONE LINE 247-5814
'i3
Page 2
Application Number . . ' . . . 12-00001692 Date 1/03/13
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 244 . 00 244 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 7 . 32 7 . 32 . 00 . 00
Grand Total 251 . 32 251 . 32 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBINiG PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: _Lt'- 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 �I
Laundry Tray l 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)
t_i Lawn Sprinkler System-Number of Heads ❑ Well
** SJRWD Well Completion Form. Completed orm to be submitted to the Building Department for final inspection.**
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 Phone Number
Plumbing Company '_t_f)6 P ttA,r 101 Office Phone S 9 S-X3-11 Fax
Co. Address: 2- L6 5 City J Sa�v�N4 State�Zip 3a-Ig(o
License Holder(Print): 'Yl gi V State Certification/Registration# CrfL A/Z R4,z
Notarized Signature of License Holder
rn and subscribed before me this day of 20
rrJ i Signature of Notary Public