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2212 Laughing Gulll 2013 Plumb CITY OF ATLANTIC BEACH s j 800 SEMINOLE ROAD J V� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number 13-00003357 Date 9/05/13 Property Address . . . . . . 2212 LAUGHING GULL CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 Owner Contractor ------------- -------------- ---------- WALLACE RUTH N PLUMBING BY JOSH 5677 FLORAL AVE 2212 LAUGHING GULL CIR JACKSONVILLE FL 32211 ATLANTIC BEACH FL 32233 (904) 745-3330 ---------- ----------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date . . 3/04/14 ----------- ---------------------------- 2 . 00 Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2 . 00 ________ ------ Fee summary Charged --Paid Credited ----Due--- ----------------- ---------- ----- . 00 90 . 00 . 00 Permit Fee Total 90 . 00 00 00 . 00 Plan Check Total • 0000 . 00 4 . . 00 Other Fee Total 4 . 00 00 . 00 Grand Total 94 . 00 94 . 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 JOB ADDRESS: 0 Cro 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 MISCELLANEOUS: :i Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) :i Lawn Sprinkler System-Number of Heads ❑ Well �* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." i Other ermit 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 tis 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 does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. roperty Owners Name Phone Number lumbing Company PJYMIJ 4Y ';JaS� � - Office Phone - &0 Fax o. Address: S6 O City State Zi icense Holder (Print): Atate Certification/Registration#c�cy�-3r�SC otarized Signature of License Holder Lr--�-� k _ a Sworn and subscribed before me this ��day of �' 20 3 JENNIFER WALKER MY COMMISSION M FF 011480 Signature of Notary Public ; ` EXPIRES:April 24,1 2017 Bonded Thni Notary Pudic nderwriter