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468 Whiting Ln (vault)CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000271 Date 3/11/10 Property Address 468 WHITING LN Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 Application desc 8 fixtures ---------------------------------------------------------------------------- Owner Contractor ----------------- PRINZ, GUSTAV K. ------- JR. -------------------- CHRISTY FIRST COAST ---- PLUMBING 468 WHITING LANE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 ------------------- (904) 247-4419 --- Permit ----------------------------------------- PLUMBING PERMIT ------------- Additional desc . Permit Fee 111.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date -------- 9/07/10 -------------- Fee summary --------------- Charged -------------------------- Paid Credited ------------- Due Permit Fee Total 111.00 111.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 111.00 111.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 11 10 10~.53a JOB ADDRESS: 9042494860 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 i~Q.n ~ p.i PERIVnT # NEW OR REPLACEMENT IlYSTALLATION: Project Value $ TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures -PIPE: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures QTY TYPE OF FIXTURE QTY Septic Tatilc & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System I'~U r~° Gam-- ~' QrY TYPE oFFIxTURE QTY ~ Septic Tank 8c Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet ~^ Urina! Vacuum Breakers Water Connected Appliances _~_ Water Heater ~ Water Treating System MISCELLANEOUS: ^ Sewer Replacement ^ Bank Flow Preventer C Grease Interceptor (Trap) gallons (Requiires 3 sets of plans) ^ Lawn Sprinkler System-i~Tumber of Heads ^ Well ** ** SIRWD Well Completion Form. Completed form to be submitted to etng Department for final inspection.** ^ Other Permit becomes void if work does ant commence within a six month period or work is suspended or abandoned for su: months. I hereby certify that I have read this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be wmplied with whether speeif ed or not. The permit does not give authority to violate the provisions of any other state or local taw regulation construction or the performance of construction. Property Owners Name ~l c~l'a / ~~!',Ir~ ._ :,/r• Ph~~onlle Number9ay-''~ d~~!`~S~ Plumbing Compnany ~1~~~ t~,eST (_~~~'` PLu m.~ti ~ Office Phone o~ ~ ~y~ ~l Fax~9`~~~p f-' ~ ~~ ~~~~ ~ City`/~x- 81.N State ~(. Zip ~i Co. Address: G License Holder (Print): ~~~ ~ • G~° i s T t'~ State CertificationlRegistration # (',.r- L' C J~~~~ Notarized Signature of License Holder l ~ ~~ ~,~.p... . Sworn and subscribed 1Sefore me this day of Brian Q. Christy 20 Signature of Notary Public PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904} 247-S84S Jos ADDRESS: ~~~ ~~17 ~n~j ~Q.n ~- PERNIIT # NEW OR REPLACEMENT INSTALLATION: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures -PIPE: TYPE OF FIXTURE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures Qom' Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System QTY TYPE OF FIXTURE a Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet -~^ Urinal Vacuum Breakers Water Connected Appliances _~ Water Heater Water Treating System QTY QTY MTSCELLANEOUS: ^ Sewer Replacement ^ Back Flow Preventer ^ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ^ Lawn Sprinkler System-Number of Heads ^ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ^ Other Permit 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 this 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 or not. The permit does not give~~alutho~~ritj1y to violate the provisions of any other state or local law regulation construction or the performance of construction/. Property Owners Name ~11A cT- ~ / ~l ~') ~ , ;1 Y'° Phone Number 9b~f'~3~ ~0~1 `7 `~~ Plumbing Compan//ly ~~1~`'j>~'~I //~~ L~~~ ~~ ~'~'Lt~ t N'~ Office Phone ~ ~'~y~ QI Fax~9`~~~'~ Co. Address: f~' U ~~- ~~71p City`J~'x- BZN ,State ~L Zip c~d~G License Holder (Print): ~"i~ ~ ~ ° ~~ ~ S ~~ State Certification/Registration # ~- L' ~J` ~~ 1 Notarized Signature of License Holder _ .~ ~~ {~~ Sworn and subscribed Signature of Notary Public Project Value $ TYPE OF FIXTURE me this day of 20`