2008 Selva Madera Ct 2013 repipe CITY OF ATLANTIC BEACH
\ SS1
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002704 Date 5/21/13
Property Address . . . . . . 2008 SELVA MADERA CT
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE 6 FIXTURES
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Owner Contractor
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WHEATLEY, JAMES R ASAP PLUMBING & DRAIN CLEANING
2008 SELVA MADERA CT. SD SERVICES OF JACKSONVILLE
ATLANTIC BEACH FL 322334531 P. O. BOX 48070
JACKSONVILLE FL 32245
(904) 994-6440
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Permit . . . . . . PLUMBING PERMIT
Additional desc - - . 00
Permit Fee . . . . 97 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/17/13
_ ------------------------------
Other Fees .
STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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---------- --
Permit Fee Total 97 . 00 97 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 00 101 . 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 l3
Ph(9/04) 247-58262;,",
) 24477-5845
JOB ADDRESS: "'?' 0 D �e( ✓'a ��e '� � • PERMIT# f
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
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain lop Sink
Floor Drain ( hree 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
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads- ii Well **
** SJR WD Well Completion Form. Completed f/o/} 'to be submitted to the Building Department for final inspection.**
Other C I
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 authority to violate the provisions of any othee state or local law regulation construction or the performance of construction.
SI/s�n (,Ihev,`t( Phone Number /-l7 2 a 9yZ�O
Property Owners Name Q/
Plumbing Company 54� / (y�^^b' I^� Office Phones q33' 3 Fax
Co. Address:
D go L{$"G7(� City �l F _State Zip 3 2 y 7
License Holder (Print): a rr .eat>n Stat rt'ffll tion/Registration# C F�OS��Sf
Notarized i--nature-aUig MA 'I r
t GRAHAM
rAN COMMISSION#DDs5niaef e me this 1
ZkTZ:7—T
: a EXPIRES:February 14,2014
pf ;,• BondNThruNotary Public undenqffiture of Notary Pub
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