Loading...
369 3rd St 2014 REpipe CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 � - INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000641 Date 4/23/14 Property Address . . . . . . 369 3RD ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 --------------------------------- Application desc REPIPE -- --------------------------------- Owner Contractor ------------------------ -------------- ---------- EILERS, ELIZABETH T WILLIAM' S BIG BOY PLUMBING INC 369 3RD ST 516 SOUTH 11TH AVE ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 241-1880 ---------- ----------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date . . 10/20/14 ---------------------------------- 2 . 00 Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2 . 00 _ ________ ---- Fee summary Charged Paid Credited Due -- ----- ---------- - . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 94 . 00 94 . 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�904C)`2.47-5826 Fax (904) 247-5845 JOB ADDRESS: 3 3 L_`s ` `' PERMIT# `� NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 l 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 other state or local law regulation construction or the performance of construction. Property Owners Name L a w I S r S Phone Number Plumbing Company VA22 Office Phone ?N(-f$YO Fax__! — tJ t �� City TC-)C 5C L State r Zip 3 t 2 s''c) Co. Address: �CP License Holder(Print): �� /J'�''� � � State Certification/Registration# (2F�6470� Notarized Signature of License Holder �3 , Before me this day of � � 20 •'o.""i••. JENNIFER W&*R =: MY COMMISSION#FF 01141 Signature of Notary Public :.: � EXPIRES:Apri124,2017 Bonded Ttuu Notary Pudic UnderwrWers