2125 S Fairwy Villas Ln repipe 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r r3
Application Number . . . . . 14-00001023 Date 6/26/14
Property Address . . . . . . 2125 S FAIRWAY VILLAS LN
Application type description PLUMBING ONLY
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 0
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Application desc
REPIPE 13 FIXTURES
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Owner Contractor
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ATKINSON, RICHARD & MARIANNE ASAP PLUMBING & DRAIN CLEANING
1540 GOLF CLUB DR SD SERVICES OF JACKSONVILLE
JACKSONVILLE FL 32224 P. O. BOX 48070
JACKSONVILLE FL 32245
(904) 994-6440
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Permit . . . . . . PLUMBING PERMIT
Additional. desc . . REPIPE 13 FIXTURES
Permit Fee . . . . 146 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/23/14
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19
STATE PLBG DBPR SURCHARGE 2 . 19
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146 . 00 146 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 38 4 . 38 . 00 . 00
Grand Total 150 . 38 150 . 38 . 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 (9044) 247-5845 1 1
JOB ADDRESS: o�/2 .�'it w .l .0 9�rf S PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $ 2 2o�
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 I 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 t
Lavatory Water Heater �—
Other Fixtures Water Treating System
MISCELLANEOUS:
Sewer Replacement Back Flow Preventer rJ Grease Interceptor (Trap) gallons(Requires 3 sets
of plans)
(� Lawn Sprinkler System-Number of Heads ryA Well **
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
rig Other
month period or work is suspended or abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six
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 A/1 i d,41l�%icy /sp''� Phone Number
Plumbing Company 12 .S A - Office Phone ,o Fax 3y6-6�72-
Co. Address:
o' /qG�x- f1 a 7d City .)/;cState Zip 3-7
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
PERMIT #
.TOB ADDRESS:
License Holder (Print): S e Certification/Registration
Notarized Signature of License Holder
Sworn and subscribed before da o 20
Signature of Notary Public
,"ANNotsty Public StsW of Flodds
Joan Dean
My commission EE045132
'?.. o Expires 1112x 2014