2329 Barefoot Trac 2013 repipe v
CITY OF ATLANTIC BEACH
Ss) 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00003007 Date 7/08/13
Property Address . . . . . . 2329 BAREFOOT TRAC
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
20 fixtures repipe
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Owner Contractor
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HOSTO, MICHAEL D. PLUMB-PAL, INC.
2329 BAREFOOT TRACE 1728 SABLE PALM LANE
ATLANTIC BEACH FL 322336604 JACKSONVILLE BEACH FL 32250
(904) 246-8856
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee 195 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/04/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 93
STATE PLBG DBPR SURCHARGE 2 . 93
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------
Permit Fee Total 195 . 00 195 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 86 5 . 86 . 00 . 00
Grand Total 200 . 86 200 . 86 . 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
0?3aq Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: /_o e 40_1 Te11-C PERMIT#
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 OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer __L_ Shower
Dishwasher Shower Pan '
Drinking Fountain Slop Sink
Floor Drain Three Toilet Compartment Sink — --
Floor Sink
Hose Bibs Z Urinal D
Kitchen Sink Vacuum Breakers 2
Laundry Tray Water Connected Appliances
Lavatory _ Water Heater Z
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 **
** SJRWD 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 state or local law regulation construction or the performance of construction.
Property Owners Name A/7,'c� & CL �o 54n, Phone Number
Plumbing Company ��M�, -��� Office Phone ? E?&5; C Fax
Co. Address: /:7?-'gS,�R/� �n�.n �.�- City �t l�c{_ State Zip �Z 2576
License Holder (Print): erttcation/Registration# CFC os7%-7,�
Notarized Si Mature o
f License Holder
SHIRLEY L0iAMIA � me this o `_ _ 0
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BUY COMMISSION k DD 9
ICI,, al EXPIRES:February 14, 14 P C
, 4� WnftdThroNo*yftHCUrIre of Notary —