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1957 Beach Ave water heater 2013 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002384 Date 3/28/13 Property Address . . . . . . 1957 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc water heater ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ VAGHEFI JUBEEN F & LARA N ATLANTIC COAST PLUMBING CORP. 1957 BEACH AVE 3653 REGENT BLVD #305 ATLANTIC BEACH FL 322335936 JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/24/13 ---------------------------------------------------------------------------- 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. Mar 28 13 01 : 24p Susan Parrish 904-246-3673 p. l PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800-Seminole Rd Atlantic.Beach, FL 32233 Ph(904)24,7�-5826 Fax(904)247-5845 .TOB ADDRESS: ,7� ✓✓.%� ,�L�'�-`. PERMn# NEW U �REPLACE:4IENT''INSTA.LLATION: Project Value S l`IXT'UBE QTy ITp-v oFFDavRE 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 oFFtn-uRE QTY TYPEOFFixTURE 12TY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Frain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances + Lavatory Water Heater Other Fixtures Water Trcatimg System `M ARSCELLAMEOL S: ❑ Sewer Replacement ❑Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SIRWD Well Completion Form. Completed formto be submitted to the Building Department for final inspection.** ❑ Other Penrtft becomes void if work does not commence within a six month period or work is suspraded or abandoned for six months.I hereby eerdfy that I have read this application and Imow tate same to be trve and coma Ail provisioas of laws and ordinances governing this work will be cc mplied with whether specified or trot. The permit does not give authority to violate tlrs pnovi#=of any other state or local law regulation construction or the performance of construction. Property Owners Name c U r. :'t? 4r; Phone Number Plumbing of[ice Phone � a�'� ' Fax Co.Address: 3�t- + -, -" 1//' ' o{ cityv f� State ` Zip License Holder(Print): State Ce_rtt`� on/Registratzon# Volarized S lure o License Holder DIANE 0.ROCHE ' Sworn and subscribed before me this �+ /''� da ��' �� Notary Public-State of Florida yq 20 = f My Comm.Expires Apr 15,2013 Sigaatum of Notary Pablic - ;,, °� Commission#DD 880918 Bolded Through National Notary Assn. Z e6ed 5t,89-LV&V06 y:)eag Xtuel-W 40 4D WV09:6 OLOZ 91• 1-0