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1725 Ocean Grove repipe 2014 CITY OF ATLANTIC BEACH I f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �C %�• 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 --------------------------------------------------- Application desc INSTALL 13 FIXTURES --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- 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 ---------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . . 00 Permit Fee . . . . 146 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/23/14 --------------------- --------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19 STATE PLBG DBPR SURCHARGE 2 . 19 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- 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 � Plumbing Company OfficePh eZ� I_ 717Fax Co. Address: t, "r StatZi - p -AJ License Holder(Print): A `) t Certification/Registrati d 7 Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public