1835 Seminole Rd 2013 repipe It SS CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
!� :5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002510 Date 4/22/13
Property Address . . . . . . 1835 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Repipe 12 fixtures
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Owner Contractor
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WATERS JANICE B STEEG PLUMBING
1835 SEMINOLE RD 1601 MAIN STREET
ATLANTIC BEACH FL 322335915 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPIPE 12 FIXTURES
Permit Fee . . . . 139 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/19/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 09
STATE PLBG DBPR SURCHARGE 2 . 09
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 139 . 00 139 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 18 4 . 18 . 00 . 00
Grand Total 143 . 18 143 . 18 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLL MBIh G PERMIT APPLICATIOlN
CITE' OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach; FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
Jz
JOB ADDRESS:
NEW ORREPLACEMMN-T STALLATION: Project Value
�'k'PE OF,FL?�TURE f1T-X
TYPE OF.MIXT u7tE OTY
Bathtub Septic Tank&Pit �--
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Three Compartment Sink
Floor Drain
Toilet
Floor Sink
Hose Bibs Urinal
Breakers
Kitchen Sink Vacuum
Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PAPE: Ory OF.FIX7-FiRE OTT TYPE oF.FIXTZIRE
Septic Tank&Pit
Bathtub
Shower
Clothes Washer
Shower Pan
Dishwasher
Slop Sink
Drinking Fountain
Compartment
Floor Drain Three Compaanent Sink
Toilet 1/
Floor Sink � Urinal
Hose Bibs Vacuum Breakers
Kitchen. Sink Water Connected Appliances
Laundry Tray Water Heater --�--
Lavatory water Treating System
Other Fixtures
MISCELLANEOUS: gallons(Requires 3 sets of pia;
Sewer Replacement ❑ Back Flow Preventer O Grease Interceptor(Trap}__
Lawn Sprinkler Systems-Number of Heads _ ❑ well —— eDt forte Pection.
SJRWD Well Completion dorm. Completed form to be submitted to the Building Del?
Other
certify that I have;
overnmg this work will be complied with whether sp �
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby hof cons
this application and know the same to be true and correct All provisions oolaw laws
ate o oval lawd ordinances gregulation construct'
or the performance
or not. The permit does not give authority to violate the provisions of any Phone Number
Property Owners Name
o an �E' h yr Office Phone A2 y�"5i�� Fax
Plumbing Company r �i 1. State��ZtP 3 A--
Co. Address_ 11.42 •���'" City — 19&3�/9G
State Certification/Registration:,
Li - - o/,,//
a vv ��� QLdeE � cam' day o
2tY�
rnN noa.y wwe und"w
S VYo117 axed Zbscribed fore i this
Signature of Notary Public