318 8th St 2014 Plumb CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000369 Date 3/12/14
Property Address . . . . . . 318 8TH ST A
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
shower pan
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Owner Contractor
-
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ROTH CHARLES B JR ET AL LARRY TEAGUE & SONS PLUMBING
ROTH MARTA M R/S 203 OCEANFRONT
66 ROSCOE BLVD S NEPTUNE BEACH FL 32266
PONTE VEDRA BEACH FL 32082 (904) 270-2289
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Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 62 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 9/08/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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)247-5882Fax(904)247-5845
JOB ADDRESS: 3 � Sf(t;Cf 3 ZZ33 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ W.0
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
**SJR WD 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
or not. The permit does not give thority to violatcjbe provisions of any other state or local law regulation construction or the performance of construction
Property Owners Name r Phone Number;tqq_'AR 4� 1
Plumbing Company r r 1 Office Phone a'! 0" FaxZ`[7�-D2 J
Co. Address: O City m, WAte q Zip
License Holder(Print): MAD w��
fication/Registration# u
62,
Notarized Signature of License Holder
n Ll
MELANIE A.DARLINGTON Sworn and subscribed befo me 1his y of r 201
-•• ''� MY COMMISSION#EE198733
EXPIRES May 15,201 s Signature of Notary PublicMdARL a VW_Ii"
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