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5213 Antares Ct 2013 plumb CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !} =5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �r lilt Application Number . . . . . 13-00003785 Date 12/05/13 Property Address . . . . . . 5213 ANTARES CT Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc RELOCATE WASHING MACHINE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC RETIREMENT FOUNDATION, INC 11828 NEW KINGS RD STE 209 1 FLEET LANDING BLVD JACKSONVILLE FL 32219 ATLANTIC BEACH FL 322334599 (904) 393-7959 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/14 ---------------------------------------------------------------------------- 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Q Ph(904)247-5826 Fax(904) 247-5845 -j— syl JOB ADDRESS: �.2 �,( PERMIT-r �°=—i^�— NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY BathtubSeptic 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 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 D��� � t�1'i� ,� — •� 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 is 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 this not. The permit does not give authority u violate he provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name A>J Phone Number ,�,..,�P � r-- Office Phone � F ���� Plumbing Company �, City Stated Zip Z Co. Address: License Holder(Print): State Certification/Registration# CFC OS7g Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public