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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 ---------------------------------------------------------------------------- Application desc BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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. 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