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93 Kimberly Ct 2014 Plum CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jjilt Application Number . . . . . 14-00001012 Date 6/24/14 Property Address . . . . . . 93 KIMBERLY CT Application type description PLUMBING ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 ----------------------------------------------------- Application desc 12 fixtures --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DOMIMICK II, ESMOND LESTER TOUCHTON PLUMBING 1431 RIVERPLACE BLVD #2310 416 RYAN AVENUE JACKSONVILLE FL 32207 JACKSONVILLE FL 32254 (904) 389-9299 -------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/14 ------------------------------ Other Fees . . STATE PLBG DCA SURCHARGE 2 . 09 STATE PLBG DBPR SURCHARGE 2 . 09 ----------------------------------------------- Fee summary Charged Paid Credited ----Due--- --------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 18 4 . 18 . 00 . 00 . 00 Grand Total 143 . 18 143 . 18 . 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)21447,-58226 Fax (904) 247-5845 JoB ADDRESS: �� I�UA/►'T PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 2-00. TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Z 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 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.l 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 et v-io�latethe ,provisions of any other state or local law regulation construction or the performance of construction. i� Property Owners Name s� r 1 w l G Phone Number � ► Plumbing Company 51.LCI'l Yl R l.LM611 &Y5 Office Phone c3 bbl-9 Z9 9 Fax c38q- C)ZI Z Co. Address: LJI L? RU10 Alt"d, City J-f�wywL[it2 State k— Zip3Z25 License Holder(Print): r► O�C��or� State Certification/Registration# C'I�G US(ay v"> Notarized Signature of License Holder SHERRY HAYES orn and subscribed before me this a�3 r qday of �lUr)C'. 20 1'4 � Y MY COMMISSION Y FF 082292 EXPIRES:March 3,2018 S afore of Notary Public -- y'f Q0.`` Bonded Thru Notary Pudic underwriters