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1203 HIbiscus St repipe 2013 V, C,� , :` a CITY OF ATLANTIC BEACH \ 111 J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �0A Application Number . . . 13-00002748 Date 5/29/13 Property Address . . . . . . 1203 HIBISCUS ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------- Application desc 10 FIXTURES -------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CONROY PAULA M STEEG PLUMBING 1737 OAKBREEZE DR 1601 MAIN STREET JACKSONVILLE BEACH FL 32250 ATLANTIC BEACH FL 32233 (904) 249-5191 ----------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 125 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 11/25/13 ---------------------------- Other Fees . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ----------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- -- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLLMBIN O PERMIT APPLICATION CITE' OF ATL.A.I�-TIO BEACH 800 Seminole Rd Atlantic Beach; FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB.ADDRESS: �� /�i�73G�j _ PFRNIIT� NEW OR REPLACEMENT Ftii` TALLATION: Project Value S rITE OF FDOVPE On, TIDE O.F FD UTE off' 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 -k'fl"E: TzPE OFFDJVRE ®TY TYPE OFFDUURE OTY Bathtub Septic Tank&Pit Clothes Washer / Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drawn Three Compartment Sink Floor Sink Toilet Hose Bibs t— Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances L - Water Heater Lavatory —L-- avatOtherFixtures Water Treating System MISCELLANEOUS: allons(Requires 3 sets of plat Sewer Replacement o Back Flow Preventer o Grease Interceptor(Trap) o Lawn Sprijilder System-Number of Heads o Well SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. o 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 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 sPecrS construction or the performance of constructrrn or not. The permit does not give authority to violate a provisions of any other state or local law regulation Phone Number Prooerty Owners Name `5 iii plJ��H Z yl QST 3 Office PhoneIA-11-t-F x---- _ Plumbing Company C �ae G A ez Co. Address. ���� �4H City Stat ,Zi J 'G�, State Certification/Registration �/�-�'�79(0 License Holder(Print): � -- :otar ized tdi 2013 � 4�jRAHAM Of z� biV COMMISSION#DD 95TF$Q�rO �-Z 113SCitl',ed �? for ttt1S �7 EXPIRES:February 14,2 yoo W 7hru Notary Public Underwriters L,_e Of Notai y Publi