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620 W Dutton Island Rd 2013 plumb t r, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 vJl� J� Application Number . . . . . 13-00003826 Date 12/12/13 Property Address . . . . . . 620 W DUTTON ISLAND RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 7 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAMM, JAMES MARTIN JR ADVANTAGE PLUMBING PO BOX 1696 880 MAYPORT RD PONTE VEDRA BEACH FL 320041696 P.O. BOX 49225 JACKSONVILLE BEACH FL 32240 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 111 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/10/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111 . 00 111 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 115 . 00 115 . 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 .TOB ADDRESS: V(�( l& �� PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 Kitchen Sink Vacuum Breakers Laundry TrayWater Connected Appliances Lavatory _LU;_ Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ) ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of p ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectio ❑ 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 haved 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 specs 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 constructs M a rh iA l J a �� Phone Number Property Owners Name Plumbing Company �� P�(,clYt Office Phone g Fax City , State � Zip Co. Address: / License Holder(Print): Y 67-It'�s Stat ertifi n/Registration# Notarized Signature of License Holder :'y•. JUUE YOUNG CHRISn" i Sworn and subscrib d b e me this�day of 20 MY COMMISSION#FF OO�2 y Signature of Notary Public �•: EXPIRES:Jul 2t,2017 SRFd Bonded Thru Notary Public Underwriters OQ��