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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 ---------------------------------------------------------------------------- Application desc 17 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TARLE TRUST, CHARLOTTE &JAMES STEEG PLUMBING 2239 LAUGHING GULL CIR 1601 MAIN STREET ATLANTIC BEACH FL 322334680 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 174 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/27/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 61 STATE PLBG DBPR SURCHARGE 2 . 61 ---------------------------------------------------------------------------- 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], e