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1895 Hickory Ln 2013 repipe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002960 Date 6/27/13 Property Address . . . . . . 1895 HICKORY LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------------- Application desc 14 fixtures -------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ZAZZARINO, EDWARD STEEG PLUMBING 1895 HICKORY LANE 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ----------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 153 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/24/13 ------------------------------------------------------ Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30 STATE PLBG DBPR SURCHARGE 2 . 30 ----------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 153 . 00 153 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 60 4 . 60 . 00 . 00 Grand Total 157 . 60 157 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION x r CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB A.DDRFSS: I � �F® PFRmrr 1 --r N OR REPLAC'EMEN-T INSTALLATION: Project Value TYPE of FDOTRE Ory TYPE of FIXTURE Or' Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Dram 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: YPE of FDC UURE QTY TYPE of FDCFURE ©zY Bathtub Septic Tank&Pit Clothes Washer �— Shower —L--- Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Dram Three Compartment Sink — Floor Sink Toilet Hose Bibs Z Urinal K % Vacuum Breakers Kitchen Sink Laundry Tray Water Connected Appliances Water Heater Lavatory --�- Other valorFixtures Water Treating System MISCELLANEOUS: al ons(Requires 3 sets ofplaf o Sewer Replacement 0Back Flow Preventer ❑ Grease Interceptor(Trap} g u Lawn Sprin4er System-Number of Heads ❑ Well * ection. SJRWD Well Completion.Form. Completed form to be submitted to the—Building Department for final insp ❑ Other r six months.I hereby certify th I have i Permit becomes void if work does not commence within a six month period or work is suspended or abandone s woork will be complied with whether specifi this application and know the same to be true and correct Ail provisions of laws and ordinances governing construction or the performance of constructioi or not. The permit does not give authority to violate the provisions of any other'state or local law regal Zx���jt0 Phone Number Property Owners Name V al y Office Phone >1yf-s�l Fax�— Plumbing Co7zft4N �t� State�� Zip X33 Co_ Address: � City cation/Registration#65L 32XC License Holder(Print): %otarized Signature of License Halder v 20_ Sworn and sub bed before this y of Signature of Notary Public