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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