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1542 w Park Ter 2013 water heater CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD e:, ATLANTIC BEACH, FL 32233 Application Number . . . . . 13-00002395 Date 3/29/13 Property Address . . . . . . 1542 W PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application des water heater ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COLEMAN MARTHA J. A J MOREL PLUMBING INC 1542 PARK TERRACE WEST 8915 CASTLE ROCK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221 ---------------------------------------------------------------------------- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . 62 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Expiration Date . . 9/25/13 ---------------------------------------------------------------------------- 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 Tot 1 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 ITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 P 1(904)247-5826 Fax(904)247-5845 FOB ADDRESS: L {dark {r axe- V✓ 4 c Chea `'L 322333 PERMIT# 4EW OR REPLACEMENT INST LATION: Project Value$ L a-- 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 2E-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Qom' 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 o Heads ❑ Well ** 1X SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** Other 'ermit becomes void if work does not commence vithin a six month period or work is suspended or abandoned for six months.I hereby certify that I have read his 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 )r 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. 'roperty Owners Name 114aCole-&A-nPhone Number R/9 -33 q0.-1533 dumbing Company A J. AMI Gl / Office Phone ?D4-83$-//�j Fax Z 3 -q- �o. Address: 8ql City Jack ayi&State -Zip 3z2z/ [license Holder(Print): Ad-hu4-JState Certification/Registration# Cfr—&a'44 �o Votarized Signature of License Holder 20 !.3 Janet Sue kaary Sworn and subscribed before is n' day Comm.#EE 14907 Notary Public-State of Florida Signature of Notary Publi My commission Expires 9/21/2014