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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 ---------------------------------------------------------------------------- Application desc REPIPE 13 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19 STATE PLBG DBPR SURCHARGE 2 . 19 ---------------------------------------------------------------------------- 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