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651 Begonia St PLBG PERMIT sz� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 � INSPECTION PHONE LINE 247-5814 -�:)A Application Number . . . . . 13-00002447 Date 4/10/13 Property Address . . . . . . 651 BEGONIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Repipe 12 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DEHONIESTO BEVERLY JEAN PLUMB-PAL, INC. 651 BEGONIA STREET 1728 SABLE PALM LANE ATLANTIC BEACH FL 322331729 JACKSONVILLE BEACH FL 32250 (904) 246-8856 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . REPIPE 12 FIXTURES Permit Fee . . . . 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/07/13 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 139 . 00 139 . 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 PERMIT# JOB ADDRESS' ' 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 . 12E-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Z Septic Tank&Pit Clothes Washer 1 Shower Dishwasher 1 Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink z- Floor Sink Toilet Z Urinal Hose Bibs 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 o Well ' �* *X SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." ❑ Other hs.I hereby certify t I have read Permit becomes void if work does not commence within six provisions of lawseriod or �and ordinancrk is es suspenor ded this work will br six el complied with whether specified this application and know the same to be true and correct. A p 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. r Property Owners Name /C �_� �©`` '�"� Phone Number _ Plumbing Company .� (� �. �,.r� _ Office Phone & Fax ----- Address: ?2 ae' City �CT � State Zip - Z 2S rt Co. a License Holder Print): State Certification/Registration# CFC�s'7l Z Notarized Soil'rivIlm." ISSSIION##EE 057349EXPIRES:May 21 oh Sorbed Thru Notary Public,Uritld me this !�� day Signature of Notary Public