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
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Application des
water heater
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Owner Contractor
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COLEMAN MARTHA J. A J MOREL PLUMBING INC
1542 PARK TERRACE WEST 8915 CASTLE ROCK DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221
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Permit . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . 62 . 00 Plan Check Fee . 00
Issue Date . . Valuation . . . . 0
Expiration Date . . 9/25/13
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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 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