303 1st St 2014 plumb CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
!tic
Application Number . . . . . 14-00000277 Date 2/25/14
Property Address . . . . . . 303 1ST ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
--------------------------------------------------------------------
Application desc
1 fixture
------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
SMITH CHRISTINE F ADVANTAGE PLUMBING
80 THORNBANK RD 880 MAYPORT RD
THORNHILL ON CANADA L456X7 P.O. BOX 49225
THORNHILL ONTARIO CN L456X7 JACKSONVILLE BEACH FL 32240
(904) 247-9848
--------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/24/14
---------------------
-------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
---------------------------------------------------------
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.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 24-7-5826 Fax(904) 247-5845
.TOB ADDRESS: 3�,� l � �/ R��'� 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 p )
ElLawn Sprinkler System-Number of Heads ❑ Well
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspectio
❑ 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 haved
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 specs
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 constructs
Property Owners Name '\/-60A14 n Phone Number
A A
Plumbing Companyy��L� �� l"��/"� ��� Office Phone c 297- 96519 Fax
Co. Address:
(� y City Z �U. A c)-) State f Zip �??
License Holder(Print): State Certification/Registration# C C
Not ri ed S' : t re o is s older
INNNotary Public State of Florida Sworn and subscri ed befo this day of 20
Shirley L Graham
+� My Commistion FF 088990
„w Expires 02/1412018 Signature of Notary Pub