1830 Seminole Rd 2014 repipe CITY OF ATLANTIC BEACH
sj 800 SEMINOLE ROAD
N� ATLANTIC BEACH, FL 32233
') . � '
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000401 Date 3/17/14
Property Address . . . . . . 1830 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL 17 FIXTURES
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Owner Contractor
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GUARDIAN AMERICAN PROPERTIES BECKWITH PLUMBING INC
1400 E OAKLAND PK BLVD STE 202 2653 PARRISH CEMETERY RD
FORT LAUDERDALE FL 33334 JACKSONVI
93L E LE FL 32221
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Permit . . . . . . PLUMBING PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 174 . 00 0
Issue Date Valuation
Expiration Date . • 9/13/14
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Other Fees
STATE PLBG DCA SURCHARGE
STATE PLBG DBPR SURCHARGE 2 . 61
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Fee summary Charged
Paid Credited ----Due--
. 00
_ _ ----------
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- . 00
Permit Fee Total 174 . 00 174 : 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 5 . 22 5 . 22 . 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: S�emillluo t kN PERMIT#
O
NEW OR REPLACEMENT INSTALLATION: Project Value$ A(4_ d/
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer Shower �-
Dishwasher I Shower Pan
Drinking Fountain Slop Sink
Floor DrainThree Compartment Sink
Floor Sink �- Toilet �-
Hose Bibs Urinal �--
Kitchen Sink 1 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 y
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 **
** 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 otherstateor local law regulation construction or the performance of construction.
Property Owners Name G"&A' .w 'V'1�'-'^' i ro p Phone Number
Plumbing Companyl 6'Ik ' Office Phone a93-?A�F 6WC�
Co. Address: l�S� �/rdc AD City State P Zip 3222
License Holder(Print): tate ification/Registration# CI-C 65 80a6
23 0�SW _6G,p R 3--a
Notarized Signature of License Holder jjt!2�
JENNIFER WALKER
e re me this I�day of Y 20
My COMMISSION#FF 011480
EXPIRES:April 24,201ST{{r ture of Notary Public
�y
so
nded Thru Notary Public Undeiwnte 9
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