Permit Plumbing 650 Orchid St 2013 "1,0. ,+.�, .
h, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001753 Date 1/24/13
Property Address . . . . . . 650 ORCHID ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 75000
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Application desc
NEW SFR DETACHED 4 BEDROOM
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Owner Contractor
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BEACHES HABITAT BEACHES HABITAT
PO BOX 50939 1671 FRANCIS AVENUE
JACKSONVILLE BEACH ATLANTIC BEACH FL 32233
JACKSONVILLE BEACH FL 32240 (904) 241-1222
(904) 241-1222
-- Structure Information 000 000 NEW HOME
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . ADVANTAGE PLUMBING
Permit Fee . . . . 111 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/23/13
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Special Notes and Comments
Full right-of-way restoration, including sod, is required.
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 . )
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
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.
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
PERMIT IS ]b 03®T4P ORVAWR VCM Q".ITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
., .�
tell
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00001753 Date 1/24/13
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Special Notes and Comments
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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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 111 . 00 111 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 115 . 00 115 . 00 . 00 . 00
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PERM�T IS APPROVED ONLY IN ACCORDANCE WITH 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 2,:!!,,,,2 013
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 6 5a Q(IQ��O S By
—Q
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
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)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD Well Completion Form. Completed form 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 ��G�`QS �q 13 /' Phone Number
Plumbing Company V ( Office Phonecqy7 Fax
Co. Address: 990 A&r Oti FZ City, /) > � State Zip3ZZ 3-5
License Folder(Print): tate Certification/Registration I`Yjy95`l"
Notarized Si nature of License Hol er
'"" :, SHIRLEYLGRAHAM rn and subscr' befo e t 's f 20
*: * 2—
MY COMMISSION#DD 957760
o ;` EXPIRES:February 14,20141 ature of Notary Public
L„14 Banded Thru Notary public Undenvri ers
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