Permit Plumbing 348 Plaza 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002221 Date 2/27/13
Property Address . . . . . . 348 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16000
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Application desc
3rd floor bathroom renovation (no structural)
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Owner Contractor
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JENNESS JUDY STYLES CONSTRUCTION, INC.
348 PLAZA 1537 PENMAN ROAD SUITE A
ATLANTIC BEACH FL 322335442 JACKSONVILLE BEACH FL 32250
(904) 868-7839 (904) 241-4477
--- Structure Information 000 000 3RD FLOOR BATH RENOVATION/NO STRUCTURAL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/26/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 69 . 00 69 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 77 . 00 77 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION D T 9 � 0 T T
CITY OF ATLANTIC BEACH FEB 2 6 2013
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1By
JOB ADDRESS: ?�� P PERmrir#
0
NEW OR REPLACEMENT INSTALLATION: Project Value$ 0 0 o. 0 o
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan r
Drinking Fountain Slop Sink 11 ILL 0 P Y71
Floor Drain Three Compartment Sink IF 'I'll
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 ShowerPan
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:
Ei Sewer Replacement 0 Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
E3 Lawn Sprinkler System-Number of Heads F-i Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
El 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 NameckA&� Phone Number
Plumbing Company Office Phone _Z_ql�q Va�4__
Co. Address: C� City 07a�f. . r&.L State�' 1 Zip 2p 2Z!T
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License Holder(Print): -5;;, State Certification/Registration 4.ClIce-1 Ilf-?_P,
Notarized Signature of License Molder 44A& 100
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MEUM A-�W fore me this day of FJ' 20/3
Z MY COMMISSION#EE 861935
EXPIRES:Janueq 1,2017
Bunded Thru NoWy PuWbk nature of Notary Public)WX4�v a 4�1�