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
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Application desc
10 FIXTURES
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Owner Contractor
-
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CONROY PAULA M STEEG PLUMBING
1737 OAKBREEZE DR 1601 MAIN STREET
JACKSONVILLE BEACH FL 32250 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 125 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 11/25/13
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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 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