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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