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Permit Plumbing 315 Plaza 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002023 Date 1/23/13 Property Address . . . . . . 315 PLAZA Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ----------------------------------------------------------------------------- Application desc bath remodel --------------------------- ------------------------------------------------ Owner Contractor ------------------------- ------------------------ MULLANEY SCOTT ET AL & ELIZABE FISETTE CONSTRUCTION & REMODEL 315 PLAZA 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 992-4782 --- Structure Information 0 0 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------- ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc REPLACE 3 FIXTURES Sub Contractor JAX PLUMBING & SEPTIC� TANK Permit Fee . . . . 76 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 Expiration Date . . 7/22/13 ----------------------------L----------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ----------- ---------- ---------- ---------- Permit Fee Total 76 . 00 76 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 80 . 00 80 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE M IT" 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) 2,47-5826 Fax (904) 247-5845 JOBADDRESS: c, Z C, PERMIT# 0 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 5) Floor Drain Three Compartment Sink Floor Sink Toilet I Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures S Aa;v c r 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: n Sewer Replacement Ei Back Flow Prevente- i:i Grease Interceptor (Trap) gallons(Requires 3 sets of plans) [:i Lawn Sprinkler System-Number of Heads E:i Well ** SJRWD Well Completion Form. Completed forin to be submitted to the Building Department for final inspection." i:i Other Permit becomes void if work does not commence within a six I r 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 provisi ons of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company \Tc4 x- L4ettc'_ T&1 Office Phone 7e6-t3 `1(6 Fax C ?,; -21(Y r e— (_ 'd — Co. Address: C af" City d4cl,-S- A — c- State F� Zip 922Z f License Holder(Print): 6;e-rc-ld (f h ef ri C. State Certifi tion/Registration Ider Notarized Signature of License Ho MELIMAMM Sworn and subscribed before me this 0(—':) day of 20 A MYCOMMISSIM#EE861M EXPIRES:January 1,2017 Signature 0 Notary Public Bonded Thru Notary Public Underwribn