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1049 Litle Cypress Key 2013 water heater CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003760 Date 12/02/13 Property Address . . . . . . 1049 LITTLE CYPRESS KEY Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------- Application desc INSTALL WATER HEATER -------------------------------------------- Owner Contractor - ------------------------ ----------------------- WEISS, EDWARD & BARBARA PONCE PLUMBING, INC. 1049 LITTLE CYPRESS KEY 4642 COLLEGE ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 388-7502 ------------------------------------------- Permit PLUMBING PERMIT Additional desc . . . 00 Permit Fee . . . . 62 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/31/14 --------------------- ---------------------------- 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. ev IrlI-vo 11.JJ AVa Ina I ALLA l tuna VV444r VJJJ LyV4.Jy4.03yV PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 3223.3 Ph(904)247-5826 Fax(904)d2447/-5845 JOB ADDRESS: G� �/ � /� / ` PERmrr# 13 L �c �_ 2 -� NEW OR REPLACEMENT INSTALLATION: Project Value S TYPE OF FIXTURE QTY Septic Tank 8t Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances 1 Water Heater —�--- L/� Water Treating System RE-I'II'E TYPE OF FIXTURE QTY Septic Tank&Pit Shower Shower Pan - Slop Sink Vl lllAll l�,' l V1111U1111 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: gallons(Requires 3 sets of plans) ❑ Sewer Replacement El Back Flow Preventer 11 Grease Interceptor(Trap) S o Lawn Sprinkler System-Number of Heads _ ❑ Well **.VRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** L Other woo'Permit becomes void irwork does not commence within a six month period or work is suspended or abandoned for six months.i hereby certify that 1 have read this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit docs 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 - ��e Yip r,�` �� Office Phone j�' Z- Fax C S� City C1 t�1.�,��_ State�� zip 32Zo� Co. Address: License Holder(Print):-fi g 4 ` ' `�d�,c-e ��State Certification/Registration 4 Ct=- 2S l(� Notarized Signature of License Holder -Y-- _ � 7 Sworn and subscribed before me this p - -_ °= Signature of Notary Public 5534_ �' Y� OF M1AS EXPIRES Octobsr 18,2014 (407)398-053 Flondallotery5ervice.com