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701 Beach Ave # 103 Plumb 2014 �i rL��rj CITY OF ATLANTIC BEACH ss� J 800 SEMINOLE ROAD J } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �Jjilt Application Number . . . 14-00000907 Date 6/05/14 Property Address . . . . . . 701 BEACH AVE 103 Application type description PLUMBING ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 ------------------------------------------------------ Application desc water heater ---------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CHINNIS, BETTY D ATLANTIC COAST PLUMBING CORP. 701 BEACH AVE APT 103 3653 REGENT BLVD #305 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 249-5381 ------------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/02/14 ------------------------------ Other Fees . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- --------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 -i —t---R p 0 C i Cu �ynn D z t*+ L9 �'JM- Tpf9 a o +ems r i n 0, o ITJ 'kc-1 4DIDnm m� rJCO *.+ �' ra r C-nLnd Ti W � 3ZD �.. z r 1� M::1 4 C'W r j D M� -o ns r-1'0 3 tJ U-.6H i3t M L',r£D o 0710101 01 01 PI cq o 0 0 o h ci ATLANTIC BEACH OR AND THE FLORIDA oor� BT Jun 05 14 03: 39p Susan Parrish 904-246-3673 p• 1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 ,��. ✓� PERMIT# ,YOB ADDRESS= i G/ �/r (�L7� - NEW OREPLACEMENT NST.^..LLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE 2TY 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 _-- ry Tray Water Connected Appliances Laundry _ Laund Water Heater Other Fnculres Water Treating System _ RE^PIPE: - TYPE OF FIXTURE QTY TYPE OF FIXTURE 27-Y Bathtub Septic Tank&Pit _-- Clothes Washcr Shower --- Dishwasher — Shower Pan ---- Drinking Fountain Slop Sink �_ Thrcc Compartment Sink Floor Drain Toilet Fr Sink Floor --— looBibs Urinal -- — Kitchen Sink Vacuum Breakers Water Connected Appliances Laundry Tray Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: gallons (Requires 3 sets of plans) ❑ Sewer Replacement © Back Flow Preventer 0 Grease Interceptor(Trap) S ❑ Lawn Sprinkler System-Number of Hcads D Well ** ** SJRWD Well ComPlerian Form. Completed form to be submitted to the Building Department for final inspection.*" O 011ier _.._ that permit bccom�void if work docs not eontmcr cc within a six mont!"T7 eriod or work is;ucpcnded or abandoned for six montlicorol�t�zd w th wActherl Fccf Tedd this application and know die same to he true nd correct. All provisions of lows nrtd ordinaneec governing this work wilL be or not. The permit does not givc authority to iolzle the provisions of ny other state or local law regulation construction or the pwformance or constfn/sctton. Phone Number Property Owners Name_ ._ ,�/ ��: Office Phone Plumbing Company ity �� zip ��n ;;tale Co.Address License Holder(Print): '•�� 5 �� M�'d .. State rtification/Registra.tifln# Notarized Signature of License,Flalder "- •efore me this � day ole � / � Signature of Notary Public o DMNE 0. IZOCNE rmfii � AfYfnLtArtom ... -