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Permit Plumbing 355 Skate Rd 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J11 Application Number . . . . . 13-00002237 Date 2/28/13 Property Address . . . . . . 355 SKATE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ THOMAS, MARIE ADVANTAGE PLUMBING 355 SKATE ROAD 880 MAYPORT RD ATLANTIC BEACH FL 322333819 P.O. BOX 49225 JACKSONVILLE BEACH FL 32240 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/27/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT 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 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDREss: . 5�)'CLe jL PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oFFixTuRE QTY TYPE oFFixTuRE 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: TYPEoFFYxTuRE QTY TYPEoFFYxTuRE 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: 0 Sewer Replacement o Back Flow Preventer 1:1 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads El Well **SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. o 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 ofconstruction. Property Owners Name I kom a Phone Number Plumbing Company J1 til Ajf4 f Ourn&NQ —Office Phone ;N 7- !I R 9 6 Fax,2a2:16 Co. Address: R80 nc>'r.;� city 477. J3C State zip:? 2 39 401 J License Holder(Print): C2 §10e Certification/Registration# Notarized ature of License HoKd,,r 'aw — P RA SHIRLEYL.G DOWM d subscribedSefo in this d 2013 MY COMMIFSION,'� "Of S-Feftary 14,2014 ,F. EXPRES V Bonded Thm Notary Pub�= e of Notary P u