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1768 W Park Ter 2013 1 plumb fixture CITY OF ATLANTIC BEAQH 1:1 s 800 SEMINOLE ROAD "J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �Jlll� Application Number . . . . . 13-00003421 Date 9/17/13 Property Address . . . . . . 1768 W PARK TER Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ZANIER MICHAEL W STEEG PLUMBING CO. , INC. 1768 PARK TER W P.O.BOX 330536 ATLANTIC BEACH FL 322335612 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/16/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUM BP G PERMIT APPLICATION Lc BEACH MY OF ATLAN 800 Seminole Rd Atlantic Beach. FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB A7DDRIESS: J-2cc� �JEP•ll�il'I� NEW ORREPLACMENT V STALLATIOi!: Project Values .�.A'�'ti�2E ��z Z zPE OF Ft-<T-uPE ®TY �'xPE OF Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Three Cempa.trient Sink Floor Drain Toilet Floor Sink Hose Bibs Urinal Sink �— Vacuum Breakers Laundry Tray Water Connected Appliances Water Heater Lavatory Other Fixtures Water Treating System RE-PIPE: ryPE OF F1X'.tVRE �2`Y SPE OF FDUVRF EITY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Slop Sink Drinking Fountain Three Compa.�anent Sink Floor Dram Toile` Floor Sink Urinal Hose Bibs Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System 1 ISCELLAN]EOUS: gallons(Requires 3 sets otpla� Sewer Replacement u Back Flow Preventer ❑ Crease interceptor(Trap} Number of Heads _ Well SJRWD Well Completion Form. Completed form,to be submitted to the Bu,.Iding Department for fi��inspection.Sprinkler System Ei Other Pwmwermit becomes void if arork does not commence within a six month period or wor c is suspended or abandoned for six months.I hereby cth w that I have; tail application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied whether sperm or not. The permit does not give authority to violate the provisions of any°then state or local law regal anon contucaoa or the performance of conscn:cdol Phone Number pr Drier�y Owners Name L -��/ F y�U I �CC /� Office Phoxie�'�g' � ay Plumbing Company / f ,�/c- �," City State ���'=---1—--- C o_ Address: - Skate Certficatioh/Registration Licearse Folder(Print): /i'' LA utari`ed Si,arzatare©j License Holder 20_ Swore art s�.zbsc�xbed beio �A e`mss_-- day of Signature of No` Y Pl~blI