940 Sailfish Dr 2013 Plumb `s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J -
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 13-00003820 Date 12/11/13
Property Address . . . . . . 940 SAILFISH DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6 fixture replacement
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Owner Contractor
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ARCHIPELAGO IMMOBILIEN, LLC FAVOR PLUMBINGINC
1140 N 20TH ST 2606 KERSHAW DR W
JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32211
(904) 874-4266
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee 97 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/09/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --
Permit Fee Total 97 . 00 97 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 00 101 . 00 . 00 . 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: 1 40 .541I_jP71 S 0 r2 1.J PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value$ 966 at
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 I
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**SIRWD 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company ��wa 2 P �. vim e-!-r•'� Office Phone 'IN-M-OI" Fax
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Co. Address: �60(0 X q-4stM�t-W 04- L,J City tr7t_ State IPL- Zip 3221 /
License Holder(Print): N 1 Et- 1 i e-4 ZC- State Certification/Registration# (5-FGr�
t gynar
Notarized Signature of License Hol e
=UnderwrRem
efore me this day 2
7 e1;M..Y•
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*; ►:• i;OM60
APART14 ignature of Notary Public
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