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476 Helmsman plumb repipe 2013 v CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD �• ATLANTIC BEACH, FL 32233 � INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002373 Date 3/27/13 Property Address . . . . . . 476 HELMSMAN LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 10 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WIGH STEPHEN J III STEEG PLUMBING 476 HELMSMAN LANE 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 125 . 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 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUNIBII\G PERMIT APPLICATION CITE' OF ATLAN�� BEACH 800 Seminole Rd Atlantic Beach; FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: T �✓zJe �ERNIIT .ter �-- NSW OR REPLACEMENT U STA.LLATION: Project Value S T.-,PE OF FIXTURE 07"Y TYPE O.F'FflauwE ©ry Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Dram 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.FbauRE TYPE OFFD'7vRE Qry Bathtub Septic Tank&Pit Clothes Washer _� Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilety 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 plai Lawn Sprinkler System-Number of Heads ❑ Well * SJR WD 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 I have 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 specif or not. The permit does not give authority to violate the provisions of any other state or lo cal law regulation cons niction or the performance of consunctiO3 Property Owners Name �`� G'/qLi Phone Number Plu;zlbu-Ig Company 1�' C'9' Office Phone Co.Address: D/ J71 A/r 5t" _ city jgcL State Zip Liderxse Holder(print: / 9� State Certificatior/Registration#C ofi� a t ure. r �Ider 20_ "ILOL,QRAHAM day f 114'�'Februqry 0N 0 DD 957760 worn aired subs i bed efo ""AES' 14 2014 T hil Public Underwritersrv igo attire o> Nota y Put