Loading...
Permit Plumbing 2049 Selva Marina Dr 2013 iN. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00001968 Date 1/09/13 Property Address . . . . . . 2049 SELVA MARINA DR Application type description PLUMBING ONLY Property Zoning . . . TO BE UPDATED Application valuation 0 ---------------------------- ----------------------------------------------- Application desc repipe 11 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SCHOLL, HARVEY H ROLLAND REASH PLUMBING . 2049 SELVA MARINA DR 11501 W COLUMBIA PARK DR #208 ATLANTIC BEACH FL: 322334554 JACKSONVILLE FL 32258 (904) 260-7059 ----------------------------- ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 132 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date i7/08/13 i ----------------------------- ----------------------------------------------- Other Fees . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---- ----- ---------- ---------- ---------- i Permit Fee Total �32 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 136 . 00 136 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE 'VVITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING 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: C��Xy 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 Laundry Tray Water Connected Appliances Lavatory Water Heater t-PIPE7: r Fixtures Water Treating System J YPE 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: Ei Sewer Replacement F-i Back Flow Preventer! D Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ii Lawn Sprinkler System-Number of Heads El Well SJR WD Well Completion Form. Completea—form to be submitted to the Building Department for final inspection. El Other Permit becomes void if work does not commence within a six mo:nth period or work is suspended or abandoned for six months.I hereby cenify 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 autb�ntv-lo vi�;O�Iatet p provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 'e-00-14101 Phone Number��?—JCFOS--- Plumbing Comp Office PhoneVKO-ZL-�:X Co. Address: city State zip -9';Zq-5-P License Holder(Print): L State Certification/Registration P', Notarized Signature of License Holder Sworn and subscribed before me this. I day of -3r-4jyW 20/3 REg1 e"10% Notary Public State of FlorWa Signature of N tary public PsuIRSegby 0 My Commission SED42408 Expires 01/23/2015