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