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1652 Main St 2013 1 fixture plumb CITY OF ATLANTIC BE ACTI J SS -f J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003004 Date 9/05/13 Property Address . . . . . . 1652 MAIN ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------- Application desc 1 fixture -------------------------------------- Owner Contractor ------------------------ ------------------------ REINHARDT FRITZ R TRUST ET AL 3653REGENT COAST BLVDPLUMBING CORP. 1328 7TH ST N 05 JACKSONVILLE BEACH FL 322504704ACKSO2VIL E FL 32224 ------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 62 . 00 . Valuation . . . . 0 Issue Date . . . . Expiration Date 3/04/14 --------------------- Other Fees STATE PLBG DCA SURCHARGE 2 . 0 STATE PLBG DBPR SURCHARGE 2 . 00 Fee summaryCharged Paid Credited Due ---------- ----- ---------- - Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jul 08 13 11 : 34a Susan Parrish 904-246-3673 P. 1 F'k'�- '-� �j 1�5 - 9 3 42) PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 80o Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(944)247-5845 JOB AiDmm: �? /. �✓' PERNIIT# NEW Olf REPkLACEMENT,MT.ALLATION: FrOject Value S IX7URE QTY TrPE arFIXrURE Q,rY Bathtub �' Septic Tank do pit ._._.._. Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink -- Floor Drain Three Compartment Sink Floor Sink Toilet _. ..� Hose Sibs Urinal —.— Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances —„— Lavatory Water Heater _ ..— Other Ftxttires Water Treating System —.-- RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIMRE Q ry Bathtub Septic Tank&Pit ^� Clothes Washer Shower 1 Dishwasher Shower Pan Drinking Fountain Slop Sink Moor Drain Thrcc Compartment Sink __— Floor Sink Toilet ]dose Bibs Urinal --- — �' Kitchen Sink 'Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Neater Other Fixtures Water Treating System MISCELLANEOUS: C Sewer Replacement C Back Flow Ptreventer D Grease Interceptor(Trap) gallons(!Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads 0 Well ** **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for anal inspection.** 0 Other - Pertttit bcxomcs void if work docs not eotmttetece within a pix atonth period or work is susponded ornbandoned for six months.I hereby certify that i have read this applimilon and know dee same to be tree and corer M All provisions orlaws and ordinances governing thi9 work will be eoniplied with whether speciticd or not. The permit docs not givt audwrity to violato dw ptvyisions of any other scute or tonal law regulation rottstnteti0n or the p r.formnriee of constructi0a Phone Numbea -2L -1 ff Property Owners Name y %yam' Plumbing Company'e o,, .' ;"e � :°'f,:�:%1��i Office Phone Co.Address. City �' `��;`r� e^ J1Gs�'e�'. Aj. ��;-”.1 •:`Jtat�'+.0OII Cb'L*atlDn# r�t' i License Holder(Print); Notarized Signature of License Homer Before me this day of �-'r--- r DIANE O.ROCH£ Si�ac ure of Notary Public I MY COMMISSION M FF00993S p EXPIRES;Apd 21.2017