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382 7th St repipe 2013 CITY OF ATLANTIC BEACH is1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002695 Date 6/06/13 Property Address . . . . . . 382 7TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 FIXTURE REPIPE ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- STEVENS ELIZABETH H & JOHN J CHRISTY FIRST COAST PLUMBING 382 7TH ST 1651 MAYPORT RD ATLANTIC BEACH FL 322335434 ATLANTIC BEACH FL 32233 (904) 247-4419 ------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/03/13 ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 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: PERNIIT# 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 oFFIXTURE QTY TYPE oFftau E 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 MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System Number of Heads ❑ Well ** **SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ 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 authority to violate the provisions of any other' e or-local law regulation construction or the performance of construction. Property Owners Name 1 VC � S Phone Number aC l—Cl��� Plumbing Company 1651 MMILod Road Office Phone Fax C' Co.Address: //C Atlantic Beach, FL 32233 State zip License Holder(Print): fAqa6c.7Se C "on/Registration# Notarized Signature of Licenseoder y JUNE YOUNG Ct�STY Sworn and subsc d rem y of 20 HY COMMi ION t UO 873293 ; y JE,1XPPI.RES:Jully.L2C1,20113 Signature of Notary Public :,f iF F•�`•• L`SmW 1hnu�t•W*VIItF1nftM