1642 Main St repipe 2013 v�
CITY OF ATLANTIC BEACH.
j 800 SEMINOLE ROAD
ti ATLANTIC BEACH,FL 32233
' INSPECTION PHONE LINE 247-5814
Jif
Application Number . . . . . 13-00003072 Date 7/16/13
Property Address . . . . . . 1642 MAIN ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL 12 FIXTURES
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Owner Contractor
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REINHARDT FRITZ E TRUST ET AL STEEG PLUMBING
JUANA C 1601 MAIN STREET
1328 N 7TH STREET ATLANTIC BEACH FL 32233
JACKSONVILLE BEACH FL 322504704 (904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 139 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/12/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 09
STATE PLBG DBPR SURCHARGE 2 . 09
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Fee summary Charged Paid Credited Due
Permit Fee Total 139 . 00 139 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 18 4 . 18 . 00 . 00
Grand Total 143 . 18 143 . 18 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
G PERMIT APPLICATION
C OF ,ATLA T BEACH
800 Seminole Rd Atlantic Beach. FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADARIESS: ��7 '� )b V7 A;�" sfi P EPMfr
NEW OR REPLA.CEWNT rN6TALLATION: Project Value S
T.-en OF z EM-RE
TY
0 z -n of FEa uP,,E ®zY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compatnent Sink
Floor Sink Toilet
Hose Bibs Urmal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
2'rPE OF FUTURE ®zit'
SPE OFFDUVRE O Y
BathtuSeptic Tank&Pit
Clothes Washer – Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compar=ent Sink Toilet z
Floor Sink
Hose Bibs Urinal
�-- Vacuum.Breakers
Kitchen Sink
Laundry Tray Water Conne�ed Appliances �
Water Heater
Lavatory
Other Fixtures Water Treating System
ISCEL LA.NEOUS: gallons(Requires 3 sets ofpla
Sewer Replacement ❑ Back Flow Preventer Cease interceptor(Trap)
Lawn Sprinkler System-Number of Heads _ 0 Well _ Department for�� spection.
SJRWD Well Completion.Form. Completed form.to be submitted to the Building Deg
Ei Other
certify that 1 have;
Pe mit becomes void if work does not cornu"fence within a six month period or work is suspended or abandoned nye s for w�i be co pled with whether
speci5
this application and know the same to be true and correct All provisions of laws and ordinances gove7nin n�nucon or the performance of construdiol
or not- The permit does not give authority to violate t e ovisionsti
01 h a or local law rcgul
I�z .r1�l h//ii�► Phone Number
Pro>,ez'�y Owners Name r FaX,2APV
L &41) �„ office Phone
Ply;rnbu-lg Company G' ��✓
City. �'� �� Stat _,e� Zi zI-�
7– ___—_
Co-
Address: d�
State Certificedor/Registration
License Holder(Print):
!Vgtarized Ssarzature of License Holder 20_
Sworn and subs bed before�A�e`mss
day of
Signature of Notary Public