Loading...
380 11th St sewer 2014 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000501 Date 4/02/14 Property Address . . . . . . 380 11TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ----------------------------------- Application desc sewer replacement ---------------------------------- Owner Contractor _ -------------- ---------- ----------- WOOD, THOMAS C & FAYE M DAVID GRAY PLUMBING INC. 380 11TH STREET 6491 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 724-7211 --------------------------------- Permit PLUMBING PERMIT Additional desc SEWER REPLACEMENT plan Check Fee . 00 Permit Fee . . . . 62 . 00 0 Issue Date Valuation Expiration Date 9/29/14 Other Fees STATE PLBG DCA SURCHARGE 2 • 00 STATE PLBG DBPR SURCHARGE 2 . 00 _ ________ ---- Fee summary Charged Paid Credited ----Due--- _ ------- . 00 --------- ---------- ---------- - . 00 Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 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 I CITY OF ATLANTIC BEACH d 1 800 Seminole Rd Atlantic Beach, FL 32233 904 Ph (904) 247-5826 Fax ( ) 247-5845 ITf� - �E .1 PERMIT# JOB ADDRESS: �<<G be�� 2233 NEW OR REPLACEMENT INSTALLATION: Project Value$ 1344 1 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 Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures RE-PIPE TYPE of FIXTURE QTY TYPE of FIXTURE QTY Septic Tank&Pit Bathtub Shower Clothes Washer Shower Pan Dishwasher Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures MISCELLANEOUS: gallons (Requires 3 sets of plans) Sewer Replacement [:1Back Flow Preventer ❑ Grease Interceptor(Trap) ** fk [-i Well [I Lawn Sprinkler System-Number of Heads ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other y that I have Permit becomes void if work does not commence with cta All six of laws aor nd ordinancessuspended ndgovemmg tor his work will be complied with r six months.I hereby whether specifiedd this application and know the same to be true and corre p or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance f r construction. np 3 ti yn � � V)co-� Phone Number '1 �J Property Owners Name l � �� 1Z�f��j Office Phone �1 I� 7Z`� L Fax Plumbing Company T)R1 1p ���� p��N► ` �� J�ra,/l� Co. Address: (�4f?/ u.�'f lkie City T State FG Zip 3z_ z 33 License Holder (Print): �`� State Certification/Registration# Notarized Signature of License Holder ` - � 20 t� �*�°w Notary Public State of Florida Sworn and subscribed before me this 2 day of Y A X LaSheica Wilson x Expires commission 2015050523 Signature of Notary Public o,,,o E