84 W 8th St 2013 repipe CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
N� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002297 Date 3/11/13
Property Address . . . . . . 82 W 8TH ST
Tenant nbr, name . . . . . . 84 W 8TH ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE 9 FIXTURES
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Owner Contractor
-
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ELO ANN MARIE TRUST F.W. FAIR PLUMBING CO.
C/O ANN MARIE WILLIAMSON P.O. DRAWER 51558
8483 BERESFORD LANE JACKSONVILLE BEACH FL 32250
JACKSONVILLE FL 32244 (904) 241-7191
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Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 118 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 9/07/13
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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 118 . 00 118 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 122 . 00 122 . 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
l� ,, PERMIT#JOB ADDRESS: c Z
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 ZSeptic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor SinkToilet
—
Hose Bibs —7— 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
XX 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 Phone Number
C(,J �Q �U �° ��,� Office Phone 2:(//- '7/LY—Fax
Plumbing Company
Co. Address: City State Zip
4 Ob
License Holder (Print): /�l Certification/Registrati
Notarized Signatu
;.`.a SkIRLEY L.GRAHAM
=.• hAY COMM1 �95q�t s a Of 20
EXPIRES: a ruary 14,2014
%gyp ;;.•
i3orided Thrto Notary,
PublicUnderwriters otary Pub