2248 BAREFOOT TRACE PLBG PERMIT CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002415 Date 4/26/13
Property Address . . . . . . 2248 BAREFOOT TRAC
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
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Application desc
BATH REMODEL
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Owner Contractor
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STERNFELD BOB E & JANA RAY J BOSCO BUILDING CONTRACTORS
2248 BAREFOOT TRACE 2158 MAYPORT RD.
ATLANTIC BEACH FL 322334564 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 MASTER BATH RENOVATION
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . COGBURN AND WAKEFIELD PLBG
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/23/13
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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 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.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: o—` g '36 K�4�+ TrA-
Ci PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank& Pit
Dishwasher Shower �
Shower Pan
Drinking Fountain
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures -- Water Heater
Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank& Pit
Dishwasher Shower
Drinking Fountain Shower Pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets oflans
v Lawn Sprinkler System-Number of Heads P
x*SJRWD Well Completion Form. Completed form to be submitted ollthe Building Department for final inspection."
L] Other
Permit becomes void if work-does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this 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
or not. The permit does not give auth ity to violate the rovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name OS CO �J '
I I t N`" CA"' rq 64o r s Phone Number Qo Y- Z`f t_ o3 2-o
Plumbing CompanyAlj.���y Office Phone. Y-S-2�-t2�o
qFax 90 /-37y.-go/
Co. Address: 1FO IA L s< City 4 X State FL
Zip 3
License Holder (Print): a ln/l (�, la �,ri , tate Certification/Registration# C.r6 1 y 2 /Yo
Notarized Signature of License Holder '�
SHIRLEY LGRgHgtil an ubscribed b rthis da of 20 �
;+ MY COMMISSION It DD 9577Q���p� 4
EXPIRE :Feb 14, ture of Notary h `
Bonded Th Notary=11 undewrw