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
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Application desc
bath remodel
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Owner Contractor
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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
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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
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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