Loading...
341 Sargo rd 2014 repipe CITY OF ATLANTIC BEACH f. y 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 yJi3 �. 14-00000033 Date 1/13/14 Application Number - - . 341 SARGO RD Property Address . . . . . Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 --------------------------- Application desc 8 fixtures -------------------------- Contractor Owner ------------------- FORE, STUART ASHBY ADVANTAGE PLUMBING 1616 BEACH AVE P O BOX 49225 ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240 (904) 247-9848 ---------- -----Permit . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 111 . 00 0 Valuation . Issue Date . • ' ' 7/12/14 Expiration Date 2 . 00 Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------Paid------Credited Due Fee summary Charged Permit Fee Total 111 . 00 111 . 00 . 00 . 00 . 00 . 00 . 00 Plan Check Total 4 . 00 . 00 . 00 Other Fee Total 4 . 00 00 . 00 Grand Total 115 . 00 115 . 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 211 JOB ADDRESS: 4nm PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower 1 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 .2 Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FMTURE QTY TYPE OF FIXTURE QT'S' 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 E:1 Back Flow Preventer El Grease Interceptor (Trap) gallons(Requires 3 sets of p ) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** r. **SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectio ❑ Other ad 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 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 speci 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 constructi Property Owners Name,�/ �A�S�.�[ n Phone Number Plumbing Company /KYVi�u/A�Q P �I Z CIO �i OfFice Phone�'�� Fax `l Co. Address: RC) / U City State Zip 1- License Holder(Print): tate Certification/Registration# C L` Notarized Signature of License Holder Swornand subs befor me s a of 20 Signature of Notary Public