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2129 Seminole Rd 2013 repipe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 13-00003527 Date 10/15/13 Property Address . . . . . . 2129 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 -------------------------------------------------------------- Application desc 11 fixtures ----------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- COCKREL, SAM WESLEY STEEG PLUMBING 2129 SEMINOLE RD 1601 MAIN STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 --------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 132 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/13/14 ------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 -------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ Permit Fee Total 132 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 136 . 00 136 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. = PLUM13r�,G PERMIT AXPLICATIO CiTy of ATLA.T-Nc BEACH 800 Seminole Ped AtlaDfic Beach,FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDF,, s: 03 i P-W OR REPLACEMENT U S`T'ALLATIOlti: Project Value S 7'-pE OF FDalj-2E 0r'z ;v � pE o.F.��u�tE ®z�� Bathtub Septic Tank&Pit Shower Clothes Washer Shower Pan Dishwasher Slop Sink ung Fountain 1bree CoMpa'I<rtent Sink Floor Drain Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures RE—PIPE: �ZY Z—YPE OF F`DJ RE ®T TYPE�*,�"PE OF FDCURE Septic Tank&Pit Bathtub f Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Three Compa�ent Sink Floor Drain Toilet — — Floor Sink T,jrinal Hose Bibs �_ vacuum Breakers Kitchen Sink Water Connected Applies Z Laundry Tray Z Water Heater Lavatory - Water Treating System Other Fixtures 1ScF-LLANE®US: g gallons(Requires 3 sets otpla; Serer Replacement 0 Back Flow Preventer E3 Cease se (Trap) _----- Lawn Sprinkler SystemTjumber of Heads _ Department for final inspection. SjRWD Well Completion Form- Completed form to be subzni ed to the Buildingep Other fy that I have; eriod or wor c is suspended or abandoned for six months-I hereby�.�.l whether specif his oris will be complied of eonstru�o' Per mit becomes void if:work does not comu'Zence w;thut a six month p bion cA � on or the perform pais application and know the same to be true and correct All provisions other sate or local law gre; g` - OT not. The permit does not give authorYw to violate tliCprovi f any Phone Number L! property Owners Name /7!t —!� l� C-yam office Phone Plumbing CompanyN. 4 Cid � �� state�� Zip C��371Co- Address: Certifrcation/RegistrationLicense Holder(Prn ) r -iz, aFE£l t€TE©� SCE G lSlf Ei' n�� 2 — ..y o Swor1 and subsc[ib of me Sigratu e of`ND-Lary Pubic