935 Main St water heater 2013 CITY OF ATLANTIC BEACH
Is1
800 SEMINOLE ROAD
j - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Oil �?
Application Number . . . . . 13-00002797 Date 6/04/13
Property Address . . . . . . 935 MAIN ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL WATER HEATER
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Owner Contractor
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GRANT ELLEN & DANA E A J MOREL PLUMBING INC
935 MAIN ST 8915 CASTLE ROCK DR
ATLANTIC BEACH FL 322332559 JACKSONVILLE FL 32221
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Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 62 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 12/01/13
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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
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Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 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
FOB ADDRESS: q 35 M e i n Sf. A Ian- i C I3ea Ch rt 3a01-2-4^3; PERMrr#
JEW OR REPLACEMENT INSTALLATION: Project Value$ �)
TYPE OF FIXTURE QTY TYPE OF FIXTURE QT'
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
?.E-PIPE:
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 —J—
Other Fixtures Water Treating System
MISCELLANEOUS:
Sewer Replacement o Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads o Well
"`SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
= Other
'ermit 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
his 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
it not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
3roperty Owners Name E I I w G Irtni Phone Number q 6 4-327 54 S-
dumbing Company A J M ford P 112 YAC. Office Phone 96q-M_11 99Fax 9 U X74-5 IQg
�o. Address: $ 115 CAS�Ie b C �r� City JkQ C -SOlVi I IL State�Zip
License Holder(Print): A Y r G State Certification/Registration# C�I y-2 UQ T
Votarized Signature of License Holder
Janet Sue Ardary
Sworn an bscribed before this bra/ day o 20
Comm.#EE 14907
Notary Public-state of Florida Signature of Notary Publi
My Commission Expires 9/2112014