2107 S Fairway Villas 2013 repipe CITY OF ATLANTIC BEACH
!' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
C jilt
Application Number . . . . 13-00003022 Date 7/09/13
Property Address . . . . . . 2107 S FAIRWAY VILLAS LN
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------------------------------------------
Application desc
10 fixtures
---------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
DANIEL HUGH G & RITA H STEEG PLUMBING
711 CHERRY ST 1601 MAIN STREET
NEPTUNE BEACH FL 322666601 ATLANTIC BEACH FL 32233
(904) 249-5191
------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 125 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 1/05/14
-------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
-----------------------------------------------------
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.
P�,UI'12BIl O PERMIT APPLICATION
CITY OF ATLAN-TIS �LAC�I
Beach FL 32233 i v
800 Seminole Rd Atlantic
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �/D � �� � PES
i✓ OR REPLAC`EMEIV-T�iSTALLATION: Project Value
INTTYPE OF F O URE OTY TAPE OF FtxTURE OTY
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:
E OF FLUURE QTY TYPE OF FDn URE OTY
Bathtub f Septic Tank&Pit �—
Clothes Washer ► Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Draw Three Compartment Sink
Toilet
Floor Sink
Hose Bibs 1 Urinal
K � Vacuum Breakers
Kitchen Sink
Water Connected Appliances
Laundry Tray
Water Heater
Lavatory
Other Fixtures Water Treating System
MISCELLANEOUS: O Grease Interceptor(Trap} gallons(Requires 3 sets of.pIai
Ei Sewer Replacement ❑ Back Flow Preventer
E Lawn Sprinkler System-Number of Heads ❑ Well * ection.
x-k SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fi>aal insp
❑ Other
I have z
ence within a six month period or work is suspended or abandoned for six months.I hereby certify that
Permit becomes void if work does not comm
this application and know the same to be true and correct roll ons provisions
any other state or in al lawg regulation construction°the performance of whether
or not. The permit does not give authority to violate thep
���r�s
Property Owners Name /.� Phone NumberFax ��
Plu-nb
. i�t Office Phone izg Company 3
r City State�Zip
Co. Address: n� � — �' Q37/`P
License Holder(Print) ell: N'I
State Certification/Registration#,
Notarized of
SHIRLEY L GRAHAM _ da
MY COMMISSION#DD957�iro a_7-C� bscribed befor � tucS
EXPIRES:February 14,2014
� „
Bonded ThruNotary aaoneuod ers L--e of Notary Public