1725 Ocean Grove repipe 2014 CITY OF ATLANTIC BEACH
I f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . 14-00000269 Date 2/24/14
Property Address . . . . . . 1725 OCEAN GROVE DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 0
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Application desc
INSTALL 13 FIXTURES
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Owner Contractor
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RUGGIERO, JOANN F.W. FAIR PLUMBING CO.
1725 OCEAN GROVE DRIVE P.O. DRAWER 51558
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 241-7191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . . 00
Permit Fee . . . . 146 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/23/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19
STATE PLBG DBPR SURCHARGE 2 . 19
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Fee summary Charged Paid Credited Due
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Permit Fee Total 146 . 00 146 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 38 4 . 38 . 00 . 00
Grand Total 150 . 38 150 . 38 . 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 CJ
le Rd Atlantic Beach FL 32233 C;^
800 Seminole J(�,
Ph(9 4) 247-582(r Fa (904) 247-584
JOB ADDRESS' 4*tJ
71- PERMIT#
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 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
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
2a7
or not. The permit does not give authority to violate a pr io�ps of any Other state or local law regulation construction or the perfo
Property Owners Name off'construction.
U 6 �, Phone Number
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Plumbing Company OfficePh eZ� I_ 717Fax
Co. Address: t, "r StatZi
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License Holder(Print):
A `) t Certification/Registrati d 7
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public