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1656 W Park Ter 2013 sewer replcmnt CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003008 Date 7/09/13 Property Address . . . . . . 1656 W PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SEWER REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GLAWE RANDALL S & SUSAN D ROTO ROOTER SERVICES 1656 PARK TERRACE WEST 2028 W 21ST ST ATLANTIC BEACH FL 322330160 JACKSONVILLE FL 32203 (904) 354-7321 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - SEWER REPLACEMENT Plan Check Fee . 00 Permit Fee . . . . 62 . 00 Valuation . . . . 0 Issue Date . . . . 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 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. 07/08/2013 10:36 9043549255 ROTOROOTER PAGE 02/02 PLUMBING PERMIT APPLICATION CITY m ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 g Ll JOB ADDRESS: I �A'r)[s -ter A� PERMIT # NEW OR RE PLACEMENT INSTALLATION: Project Value$ Typp- OF F�PyrURE QTY TYPL'OF r'lXrURE QTY Bathtub Sept'c Tank &Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Stop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibq Urinal Kitchen Sink Vacuum Breakers Laundry'l.'ray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE or, r,ixTuRE QTY TYPE OF FixTuRF- Q.Ty 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 WaterTreating System .WSCELLANEOUS: �'S�wer Replacement) 0 Back Flow Ptev�nter E Grease Interceptor (Trap) gallons (Requircs 3 sels ol'plins) :1 Lawn SpriT.Ader System-Number of Heads 0 well '* SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.* D Other crt-nit becomes void if work doe:not commence within a six month period or work'is suspended or abandonedfor six months. T hereby certif�thet T have read iis 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 r not, The permit docs not give authority to violate the provisions of any other statc or locAl law regulation construction or the performance of construction. Iroperty Owners Name MCNAIA Phone Number k qo-�-k Ilumbing Company 1R.(��C" - n4c_�_ Office Phone 3��k-I .o. Address: M��g 1,� Statc7-� Zip 1� ,icensc lJolder(Print): State Certification/Registration 90— t:7C C)�yl 14 i_�f Totari7ed Signature qfLicense Holder .0..... SARsARA A.ADAMS :Swom.and sLibscribed before me this day of _'�s Cornm#DD07701121 : 20 Expires 4/2212012 `:Signature of Notary Public 1_14F"WIF Florida NoWry AM..ine oil PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: I r""s 6 'Ac-r 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 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 M ,JSCELLANEOUS: VS,ewer Replacement) 0 Back Flow Preventer El Grease Interceptor (Trap) gallons(Requires 3 sets of plans) r-1 Lawn Sprinkler System-Number of Heads 0 Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** El 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. q04 Property Owners Name 4ALl-'C'. PhoneNumber �aA qo%j q&1_t Plumbing Company 1R.st�o- IR n4e_:C_ Office Phone Z'�k Fax 3,%SS '��e State'�-� Zip 'S Co. Address: �j NVsA CityL%�T)W.V I - =9 License Holder (Print): ,GF IL 1- 0 A-a- State Certification/Registration#0- 1::C 0 Yf L? 2 Notarized Signature of License Holder BARBARA A.ADAMS 20 :Sworn and subscribed before me this day of _�,,A, %0011111"' Cc)mm#DD077012i Expires 412212012 :Signature of Notary Public Ql�'� inc Florida Notary Asm., ........... ..................