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860 Hibiscus St 14-00000079 Repipe CITY OF ATLANTIC BEACH \ it1 J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000079 Date 1/22/14 Property Address . . . . . . 860 HIBISCUS ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------ Application desc repipe 8 fixtures 1 new tub ----------------------------------------- Owner Contractor ------------------------ ------------------------ FEDERAL HOME LOAN MORT CORP PIPE-RIGHT PLUMBING SVC INC 1311 TROTTERS WALK WAY 5000 PLANO PKWY CARROLTON TX 75010 JACKSONVILLE FL 32223 (904) 329-9795 -- ------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc Plan Check Fee . 00 Permit Fee 118 . 00 . Issue Date . . . Valuation 0 Expiration Date . . 7/21/14 --------------------- ------------------------------ Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due----- ---------- ---------- Permit Fee Total 118 . 00 118 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 122 . 00 122 . 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 �J PERMIT # JOB ADDRESS: 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 t Lavatory — Water Heater Other Fixtures Water Treating System MISCELLANEOUS: J ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJR WD 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 t`t /(/ Phone Number Plumbing Company e ' Office Phon�OT ff Fax Co. Address: City ax State Zip 222,r- / / License Holder(Print): l / r tate Certification/Registration# J Notarized Signature of License Holder e Before me this Z2da of 20� D SHIRLEY L GRAHAM :1 SAV COMMISSION#DD 957766 Signature of Notary P blic ry72 EXPIRES:February 14,2014 jiF��? Bonded Thru Notary Public Underwriters