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2325 Seminole Rd 2014 Plumb repipe CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Dili Application Number . . . . . 14-00000818 Date 5/19/14 Property Address . . . . . . 2325 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ TANNER, MARCIA JEAN STEEG PLUMBING CO. , INC. 2325 SEMINOLE ROAD P.O.BOX 330536 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc INSTALL 17 FIXTURES Permit Fee . . . . 174 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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: o<3a��AKPERMIT 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 z Septic Tank&Pit Clothes Washer _� Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Z 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 ** xX SJRWD Well Completion Form. Complete 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 `An/►rg Phone Number Plumbing Company ��y(,, �!�'G Office Phone Z 5WI Fax r)W eP. Y Co. Address: / /t/L City State��Zip, 2 � License Holder(Print): r,— State Certification/Registration# Notarized Signature ofLice_nse Holder '0 JENNIFER WAMR MY COMMISSION r FF 011480 worn a d subscribed be e me this�_day of � 20 �• EXPIRES:April 24.2017 q`td' Bonded Tw Notary Pudic underwritersignature of Notary Publi LKW