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
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Application desc
repipe 8 fixtures 1 new tub
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Owner Contractor
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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
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Permit PLUMBING PERMIT
Additional desc Plan Check Fee . 00
Permit Fee 118 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 7/21/14
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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