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900 Plaza # 37 2013 water heater CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002377 Date 3/27/13 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . UNIT 37 Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------- Application desc replace water heater --------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SEA OATS LIMITED PARTNERSHIP ROTO ROOTER SERVICES C/O INTERSOUTH 2028 W 21ST ST 3 LOCKWOOD DR SUITE 303 JACKSONVILLE FL 32203 CHARLESTON SC 29401 (904) 354-7321 -------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 62 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 9/23/13 --------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 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 z 2 JOB ADDRESS: ��� P�g�Z S-� ������� �_ �c� `�`�3 PERMIT# /J J 7 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 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: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other TQIIn\.Rct', 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 p y 1c�,c�. ���5 ���,.�te���c�s\S Phone Number�O�k- ` GO`A C1oLA Plumbing Company��Ac'-�OcAey- Office Phone 35 -x13 1 Fax Co. Address: A»,K W U,!C S-� City Ni\\_ State V Zip 3%609 License Holder(Print): ' o oI State Certification/Registration# QVC_G'�413� Notarized Signature of License Holder �^� BARBARA A.ADAMS Sworn and subscribed before me this day of �1&ocrb\ 20\3 =.. R MY COMMISSION#EE 179625 ' a EXPIRES:ApdI22,2016 Signature of Notary Public Bonded Tt.Notary Pubic UtMerwriters