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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