212 S Oceanwalk Dr 2014 water heater � �i!i►�►`1 rl��
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
14-00000623 Date 4/21/14
Application Number 212 S OCEANWALK DR
Property Address . .
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . 0
----------------------
----------- ------------------------------
----------------------------
Application desc
INSTALL WATER HEATER
-----------------------------
Contractor
Owner
SCHUPPERT, JOSEPH V & TANIA A J MOREL PLUMBING INC
2 8915 CASTLE ROCK DR
12 S OCEANWALK DR
LE FL 32221
ATLANTIC BEACH FL 322334676 (904)O838L1189
--------------------
-----Permit .
• PLUMBING PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 62 . 00 0
Issue Date Valuation
Expiration Date . . 10/18/14
_____ -------------
-----------------------
----- 2 . 00
Other Fees
STATE PLBG DCA SURCHARG
• STATE PLBG DBPR SURCHARGE 2 . 00
________ -------
Fee summary Charged
Paid Credited
--------- ----------
---------- -------
Permit Fee Total . 00
- --- 62 . 00 . 00
62 . 00 00 00 . 00
Plan Check Total • 00 . 00
4 . 00 4 . 00 . 00
Other Fee Total 00 . 00
Grand Total 66 . 00 66 . 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
OB ADDRESS: l�? C�( L i� G�rG��l� }fir PERmrr
ZEW OR REPLACEMENT INSTALLATION: Project Value$ 061i
iL
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
FIoor 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
tE-PIPE:
TYPE OF FIXTURE OTY 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
MISCELLANEOUS:
Sewer Replacement ❑ Back Flow Preventer u Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
-- Lawn Sprinkler System-Number of Heads � Well **
SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.
Other
ermit 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
its 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
r 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.
Phone Number
'roperty Owners Name 'J6� SC h LJ=P 0.1' /
'lumbing Company �� cf /�jCYi:� ��/Uiyl hfna, inn Office Phone b d - / Fax(
37Y-51__a
o. Address: t `l `' L �'��t ( Ci(fL !�1i- City '� State l� Zip
Jeense Holder(Print): /- ur �� ��' State Certification/Registration#
Votarized Signature of License Holder
1
Janet Sue Ardary
Swornaind subscribed before this day 20 !`�
Comm.#EE 14907
Notary Public-State of Florida Signature of Notary Publi
filly commission Expires 9/21/2014