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189 Magnolia St 2014 repipe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 �J13 Application Number . . . . 14-00000287 Date 2/27/14 Property Address . . . . . . 189 MAGNOLIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------------- Application desc repipe 16 fixtures ------------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- GUILMETTE FRED PETER & LISAANN TERRY VEREEN PLUMBING 189 MAGNOLIA ST 2934 POST STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 384-5661 ----------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 167 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/14 ------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 51 STATE PLBG DBPR SURCHARGE 2 . 51 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- Permit Fee Total 167 . 00 167 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 5 . 02 5 . 02 . 00 . 00 Grand Total 172 . 02 172 . 02 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb 27 14 12:29p Terry Vereen Plunbirlg 9043888422 p.2 PEST APPLICATION C!YY Y Off`ATLANTIC BEACH 8^D Seminole Rd lkdantic Beacb,FL 32233 P (904)247- 826 F,--x(904)247-584-5 _ 10B"DD ESS: 1gEW 0R- R'EPLAC - =YF INSTAL?A-TION: Protect Value$ �t E OF E' ?^f HYPE OF 'IX17IltE QTY B_11-;ab Septic Tank&Pit C:o;.hes'Washer Shower S3is_tiNwher Shower Pan j->a SlopSink ThrCompart£neat Sink Floor Sink _ Toilet Mose Bibs _ Urinal Kitchen Sink Vacmim Breakers Laundry Tray _ Water Connected Appliances Lavatory _. Water Heater Other Fixtures Water Treating System TYPE oFFncn-R OYY YTPE of FixrtR' QTS' .Bay a Septic Tank&Pit Cl.-,fies Washer \ Shy D-shxvasher \ Shower Pan 1 � Fountain SIop Sink Floor D ain Thrae Compartzbent Sink Floor Sink Toilet — Hose Bibs Urinal Kitchen Sin's Vacuum Break=ers Laundry Tray Water Connected Appliances Lavatory Water Healer �R Other Fixftn-s Water Treating S3,stem VIISCELLANEOUS: Sewer Replacement 0 Back-Flow Preventer 0 Crrease Interceptor(Trap) gallons(Requires 3 sets of plans) i Lawn Spznkler System-Number of Heads D Weu ,*SJRWD WeIZ Completion Form. Completed form to be submitted to the Building Department for final inspection-' 0+iaer °ermit bcoomcs vo d if work docs not co=cnu witbir:z sis rnoath period or work s suspended or abandoned for sic moms,-I hereby certify Yhai I have read his application and luww the same,to bt tzuc and eusc All pmvisiwsofians and otdinan=governing this work will be complied with whether sic$ r noL 11c permit does not give arthoriy to violate the_�s:o " -oas f any othcr steric or local law z�ulation cozutracavu or the pcsfoxn—of con imctim 'roperty 0,Amers Name d�t- �` �Z Phone Number 3~?3 �3 'lurizbing Company �� c <z��-1` Office P ne 3�`� -Jto Fax �o.Address: `1 L �SSt Cify G.x state zip Zip ,leense Holder(Print): l�� Q-`c�' to Ct,- i cationlRegistsatiou# � Y C Notarized Sib-nature of Eiceme Holder Swoand slabscri b ore me this _ day of -- 20 rn Signature of Notary Public - ,A......, yTETEM11! rtS JJCC !'1-. l',n 'OhAMl5S1V�N F�v.4Zt7 �_ EXPIRES:Apel.6,201 7