590-592 Orchid St repipe 2014 i, CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
J r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r>
Application Number . . . . . 14-00001020 Date 6/26/14
Property Address . . . . . . 590 ORCHID ST
Tenant nbr, name . . . . . . 592
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------
-- --------------------------------------------------
Application desc
REPIPE UNIT 592 ORCHID ST
-----------------------
-- --------------------------------------------------
Owner Contractor
--------------
_ _ ----------
BARLEY TRUSTEE, GEORGE C ADVANTAGE PLUMBING
732 MAGNOLIA STREE 880 MAYPORT RD
NEPTUNE BEACH FL 32266 P.O. BOX 49225
JACKSONVILLE BEACH FL 32240
(904) 247-9848
------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPIPE plan Check Fee . 00
Permit Fee . . . . 118 . 00 0
Issue Date Valuation
Expiration Date . . 12/23/14
-----
2 . 00
Other Fees
_ STATE PLBG DCA SURCHARGE
STATE PLBG DBPR SURCHARGE 2 . 00
________ -----
Fee summary Charged
Paid Credited Due
--
----------
- . 00
Permit Fee Total 118 . 00 118 . 0000 00 . 00
Plan Check Total • 00 . 00
4 . 00 4 . 00 . 00
Other Fee Total 00 . 00
Grand Total 122 . 00 122 . 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(90JJ4)247-5826 Fax(904)247-5845 /
JoB ADDRESS: 501 Orth t (1 ,SSP e.fi PERMff# `
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
-PIP
TYPE oFFLYTURE QTY TYPE oFFIXTURE 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 Z Water Connected Appliances Z
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 **
**SIRWD 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.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 tiaara< Phone Number (0-5-1'Yic00
Plumbing Company T� p�(tfw(d3 Office Phone ?41qM Fax
Co. Address: City 11 State Zip
License Holder(Print): A9
tate Certification/Registration#
Notarized Signature of License older
Sworn and subscribe efore me this day of ^20
JUUE YOUNG CHRISTY
r MY COMMISSION i FF 005505 Signature of Notary Public
EXPIRES:July 21,2017
- Af�;tti• Bonded Thru Notary Public Undeiwrileis