2239 Laughing Gull 2014 plumb ir1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
} _ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000481 Date 3/31/14
Property Address . . . . . . 2239 LAUGHING GULL CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
17 fixtures
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Owner Contractor
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TARLE TRUST, CHARLOTTE &JAMES STEEG PLUMBING
2239 LAUGHING GULL CIR 1601 MAIN STREET
ATLANTIC BEACH FL 322334680 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 174 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/27/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 61
STATE PLBG DBPR SURCHARGE 2 . 61
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 174 . 00 174 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 22 5 . 22 . 00 . 00
Grand Total 179 . 22 179 . 22 . 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) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Z °/ )Aes�.-�, PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE QTY TYPE oFFIXTURE 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 Z Septic Tank& Pit
Clothes Washer / Shower 2-
Dishwasher
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet �—
Hose Bibs 21 Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS: XGrease
❑ Sewer Replacement ❑ Back Flow Preventer Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
xX SJRWD 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name rJ/to 1L Phone Number
Plumbing Company X,-e4J� Zp 7 Office Phone Fax 1709 U�3
Co. Address: ��/�l /V*/y. ^S� City �c'� State�� Zip
License Holder(Print): ,l ! m Aj State Certification/Registration#
Notarized Signature of License Holder
gliEqscribedscribed befor this ay of GLr 20
ta o/FbrigaNwe o otary Pub],
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