360 3rd St 2013 modify ceiling CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00003129 Date 8/05/13
Property Address 360 3RD ST
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation 6800------------------------ -----
------------- --- --------- - - - - ----
Application desc
Modify vaulted ceiling -------------------------------
-- -----------------------------------------
Contractor
Owner ------------------------
------- ---------------- R.S . PENNINGTON CONSTRUCTION
CAMPBELL, PATRICK H 545 BLACKFIN COURT
360 3RD ST JACKSONVILLE FL 32225
ATLANTIC BEACH FL 32233 (904) 993-2000
--- Structure Information 000 000 MODIFY CEILING
occupancy Type . . . . . . RESIDENTIAL ---------------
---------- --------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . ILLIAMIS BIG BOY PLUMBING INC
Sub Contractor W 76 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . .
Expiration Date - - 2/01/14 --------------------------------
------------ --------------------------------BG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PL
STATE PLBG DBPR SURCHARGE 2 . 00
-------- ---
------------------ ------------------------------Credited Due
Fee s ary Charged Paid - ---------- ----------
----- - --- - --- ----- ----
Permit-Fee-Total -----76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE VVITH 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
Ph(904) 247-5826 Fax(904)247-5845 -31zli
JoB ADDRESS: PERmrr#
NEW OR REPLACE ENT INSTALLATION: Project Value$
TYPE OF FixPURE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Four tain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other FixtureE
TYPE OF Fix WRE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Wash Dr 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 Fixture 3 Water Treating System
MISCELLANEOUS: f plans)
Ei Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets o
o Lawn Sprinkler Syst-,m-Number of Heads Ei Well
** SJRWD Well Completion Form. Completed—form to be submitted to the—Building Department for final inspection."
0 Other
ork is suspended or abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month period or w
this application and know the sime 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 Pckt Phone Number
Plumbing Company Office Phone2- S&O Fax
'CP
A" J'� State Zip 5
(( 1114 City
Co. Address: 5 ( - ch
License Holder(Print): C-cc 0 C(W r-I State Certification/Registration# L
Notariz
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s 203—
Vr MokL 40f 20-�
qv ION#DD 95M
31 S, om and subscribed befo e this d of
EXPIR bniary 14,2014
UondOpd T Public Underwrilers c
[ature of Notary Public