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50 17th St 2013 plumb CITY OF ATLANTIC BEACH t 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002532 Date 4/24/13 Property Address . . . . . . 50 17TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------- Application desc 4 FIXTURES --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BEACH CASTLES OF NE FL LLC ATLANTIC COAST PLUMBING CORP. 1730 OCEAN GROVE DR 3653 REGENT BLVD #305 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 249-5381 ------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 83 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/21/13 ------------------------------ Other Fees . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Apr 24 13 11 : 14a Susan Parrish 904-246-3673 p. l PLUMMING PERT APPLICATION CITY OF ATLANTIC BEACH 800.Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 f JoB ADDRESS: 50 iI ? PERMCT# NEW OR REPLACEMENT INSTALLATION: Project Value S TYPE OF FD TUBE QTY DTE oFFmvRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Stop Sink Floor Drain _ Three Compartment Sink Floor Sink Toilet 0 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Haa=s w � 't Water Treating System l�r ry u5A� RE-PIPE: TYPE OFFm-uRE QTY 2WEOFFixTURE QTY Bathtub Septic Tank&Pit CIothes Washer Shower Dishwasher Shower Pan Drinldng Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connect--d Appliances Lavatory Water Heater Other Fixtures Water Treating System AUSCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preverter ❑Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads o Well ** ** SJBWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." o Other . Permit becomes void if work does not commeuce within a six month period or work is suspended or abandoned for six montl.s.I hereby ccroify that I have read this application and know the same to be sane and cameo All provisions of laws and ordinances governing this work will be complied with whether specified or cot The p=ait does not give authority to violate the provisiaas of any other state or local law regulation conshuctioa or tae performance of construction. Property Owners Name G Sf�n/�✓�4 O Phone Number 44 0117 Af Plumbing Company L��f�� 1 � C�o/3 )7��"r�_/�j��h�Office Phone S2 7Y Fax Co.Address: ✓ �!/� ity_�i�X State License Holder(Print): i �J� e C cationlRegisbation# " G'O Notarized Signature of License Holder day of i ,,, won and subscribed be re me this p4B•• DIANE 0. ROCK Notary Public.State at Florida ignature of Notary Public --:-My Comm.Expires Apr 15.2013 '•-�, sem` Commission#Do 88018 % ems �cF•� 00 NO Tnroupn National Notary Asw _ r.