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Permit Plumbing 162 Ocean Blvd 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002151 Date 2/13/13 Property Address . . . . . . 162 OCEAN BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 10 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALTERI, ALLAN R. STEEG PLUMBING 1639 OCEAN BLVD. 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/12/13 - --------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. G PERMIT APPLICATION PLLMBIN CITY OF ATLANTIC BEACH goo Seminole Rd Atlantic Beach,FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 J013 ADDRESS: 1'. *1 PIERWr-14 NEW OR REPLACEMENT 13�iSTALLATION: Project Value TYPE OF FDaVRE OTY TYPE oF FIXTURE oly Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Urinal Hose Bibs Vacu I um Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures RE-PIPE: TYPE OF FIXTURE QTY TypE OF FIXTURE OTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinkdng Fountain Slop Sink Floor Drain Three Compartment Sink Toilet Floor Sink Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: all ns(R res 3 sets of plai o Sewer Replacement 0 Back Flow Preventer E3 Grease Interceptor(Trap)_9 o equi- 11 Lawn Sprinkler System-Number of Heads E3 Well — ** Building Department for final inspection. SJRWD Well Completion Form. Completedlorm to be submitted to tEe Ei Other mkvmw� I hereby certify that I have i Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months this application and know the same to be true and correcL All provisions,of laws and ordinances governing this work will be complied with whether specib 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 constructioi Property Owners Name 7�t A r? ) .4 /_�r M I Phone Number Pluimbing Company 5�tir I F/b, ev Office Phone 2_(fl,57?L_Fax JYZ-Wl Co. Address: ___W1e [ City State_n—Zip AYJ License Holder(Print): �ffr M_ !�9� Certif ication[Registration,&eO-37/-1-4; Xotarized Slganature of License Holder e this d _20 Sworn a&.-Lid sub bed before Signature of Notary Publi