282 Poinsettia St 2014 Plumb CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00003900 Date 1/30/14
Property Address . . . . . . 282 POINSETTIA ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
water heater
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Owner Contractor
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MCGINNIS MARK & GLORIA THE UNSTOPPERS INC
282 POINSETTIA STREET 824 EAST JEFFERSON ST
ATLANTIC BEACH FL 32233 BROOKSVILLE FL 34601
(352) 797-8009
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Permit PLUMBING PERMIT
Additional desc . -
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/29/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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.
PLUMBI 14G PERMIT APPLICATION
CM OF ATLAPmc BEAcu
800 ole Rd Atlantic Beacli,FL 32233
904) 247-5826 Fax M 247-5845
9 )� `k
JOHADDRESS: qLN&4+fA X�aQ4' PKRNOrr#
NEW OR REPIACEMENT INSTALLMION: ProjectValue$ a6O
TrP,uoFFDrruRE QTF TYPE oF FvauxE QT1r
Bathtub &Pit
Clod"Washer
Dishwasher Shower Pan
n Slop Sink
Tlffee Compartment Sink
Floor Sink Toilet
Hose Bibs WOW
Kitchen Sink Vacuwn Bruakers
Laundry Tray Water Connected Applmia=
Lavatm Water Heater
Other Fivtum Water Tr=fing System
RE-PIPE.-
TYPE or FixTURE Qn TYPE ov&xrm
Bathtub Septic Tank&Pit
Clothes Washer show"
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Tim Compartment Sink
Floor Sink Toilet
�Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water ComecW Appliances
La Water Heater
Ot=rFurtures Waler Treating System
NHSCELLANEOUS:
* Sevmr Rcplwenmt o Back Flow Prevente� 0 Grease hAerceptor(Trap) gallons(Requires 3 sets of pbm)
* Lawn Sprinlder System-Numbcr of Hea& 0 well
SJRWD Well Completion Form.Completed orm.to be submitted to G—Buidd—ing Dcpartment for fWA im�ction-**
to
0 Ott=
Pamit bewma void if work does not cmnumm within a six I vath pariod or wofk is qusp!xWcd or abandoned fivr s7tx wmths.I hereby mfify that I have read
this appiki0on ax!know tho smacto be true aW correct. All wovisions of laws and ordinsam goveraingtWs wod will be amoex!with whether specified
or noL The pmwit 4=not give aidhority to vielato the provi ow Qf any otheir swe orwal law mgulation construction oTthc perfornmxt of conshuction.
phone Number qoq- 7og-1370
Property Owners Name MAr K
Plumbing Company 5 f oe rev� officephone 2S1-7q?-M4-FRx!S2-717- ?61()
Co. Address: 22q E&s� .-Tef�enory S+ree+ city s ville-- - state FL zip A 0/
License Holder(Print): h��g"-A L State Certification/Registration#
j1der
C"WAUACE S
""N*-ftftdft* Swom and ubscribed before ..9*1,1;s day of V�ko(l Qa��MA
Si
gn ature o
ir aw, Signature o Notary PubHe a&
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