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
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Application desc
10 fixtures
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Owner Contractor
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ALTERI, ALLAN R. STEEG PLUMBING
1639 OCEAN BLVD. 1601 MAIN STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/12/13
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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 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