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386 4th St repipe 2013 CITY OF ATLANTIC BEACH s1 J 800 SEMINOLE ROAD J r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003342 Date 9/03/13 Property Address . . . . . . 386 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 --------------------------------------- Application desc REPIPE 15 FIXTURES --------------------------------------- Owner Contractor ------------------------ ---------------------- DEVANE RICHARD W JR & ANN R TURNER PLUMBING CO. 386 4TH ST 1903 HENDRICKS AVE. ATLANTIC BEACH FL 322335344 JACKSONVILLE FL 32207 (904) 396-7044 -- ------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 160 . 00 . Issue Date . . . Valuation 0 Expiration Date . . 3/02/14 _ ------------------------------- Other Fees _ STATE PLBG DCA SURCHARGE 2 .4 STATE PLBG DBPR SURCHARGE 2 .40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 80 4 . 80 . 00 . 00 Grand Total 164 . 80 164 . 80 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH 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 C� 1-- # Joy ADDRESS: � � ��►C PERMITA NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE Qry Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Dram Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry`fray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FrXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit i Clothes Washer 1 __ Shower Dishwasher _ Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor SinkToilet — Hose Bibs — Urinal j Kitchen Sink _ Vacuum Breakers Laundry Tray Water Connected Appliances LavatoWater Heater Other Fixtures 101)4W __a__ Water Treating System MISCELLANEOUS: ❑ Sewer Replacezx>'eat ❑ Back Flow Preventer O Grease Interceptor('Trap) gallons(Requires 3 sets of plans) ❑ Lawn,Sprinkler System-Number of Heads ❑ Well ** *" SJ,RWD Well Completion Form. Completed form to be submitted to tTe Building Department for final inspection." O Other Permit becomes void if work does not commence within a six zKtontka 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 provisio as of laws and ordinances governing this work will be con plied with whether spedfled or not. The permit does not give authority to violate the provis' sof any oth1 er state or local law regulation construction or the performance of cozascruction. Property Owners Name �vS ►'Jv �� Phone Number Office Phone Fax Plumbing Company "" Co. Address: City � ?�C) _State�Zip License holder(Print).' �+►� r�k 3, f^✓''� '� State Certification/Registration# Notarized Signature of Lieense Holder Sworn and subscribed before me this .3 da of 20 JENNIFERWAIMSignature of Notary Public 480 ''�• MY COMMISSION Y FF 011 EXPIRES:April 24,2017 gold Thru Notary Public UnftrwflOrs TURNER PLUMBING E S T D 1942 FAXCOVER SHEET Send to: Jenny From: Lisa Wolfe Attention:Jenny DATE: 09/03/2013 office location: Office location: Fax Number: 247-5845 Fag 1.. 2 1.: .l Urgent I.-J IF-CP1y ASAF j-.jnWWWn=efft IJ Inmw review I.J For Your infWMtioa Permit Application Mr. Turner will be there in about io minutes, Thank you for your help. ,&a WOO J." Y&urc&w GSC+,. 1903 3Eend*iC& 00emw jac&aa ae,9,e 32207 904.396.7044 phone 904.396.7046 f"