466 Sailfish Dr 2013 repipe CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
D1119)"
Application Number . . . . . 13-00002294 Date 3/11/13
Property Address . . . . . . 466 SAILFISH DR
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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TUSING, GLORIA D. TERRY VEREEN PLUMBING
466 SAILFISH DRIVE 2934 POST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
(904) 384-5661
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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.
Terry Vereen Plunbing 9043888422 P.1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
TOB ADDRESS: 4wp r - C • PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE 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
Lavatoy Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE of FIXTURE QTY TYPE of FIXTURE QTY �l(/
Bathtub �_ Septic Tank&Pit
Clothes Washer Shower _
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
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Hose Bibs _�_ Urinal
Kitchen Sink �,._ Vacuum Breakers \`
Laundry Tray Water Connected Appliances
Lavatory �_ 'Neater Heater 1
Other Fixtures Water Treating System
UISCELLANEOUS:
i Sewer Replacement -,Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
i Lawn Sprinkler System-lumber of Heads o Well **
°* SJR WD Well Completion Form. Completed form to be submitted to the Building Department for Finapection."
I Other
it
'ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.Ihereby cert that I have read
Us application and know the same to be true and correct, All provisions of laws and ordinances governing this work will be complied with hether specified
or not. The permit does not give bority e provisions to violate the of any other state or local law regulation construction or the performance o consst�rulction.
'roperty Owners Name J ;I Phone Number U)
'lumbing Company OfFice Phone 3 .0 �' Fax 'WZZ,
'o. Address: --'n,3 Cit State 3?dbS
�ieense Holder(Print): V tat ertifcation/Registmtion#C.iC,QZ'55q-7
Votarized Signature of License Holder
Sworn and subscribe4ie"foV&this day of 20
Signature of Notary Public