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433 Sargo rd 2014 repipe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001134 Date 7/17/14 Property Address . . . . . . 433 SARGO RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------------------- Application desc REPIPE 10 FIXTURES ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WOODWARD, DOLPHUS J LARRY TEAGUE & SONS PLUMBING 433 SARGO ROAD 203 OCEANFRONT ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 270-2289 -------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/13/15 ------------------------------------------------------------ Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ----------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand .Total 129 . 00 129 . 00 . 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 22 Ph(904) 247-5826 Fax(904)247-5845 .TOB ADDRESS: ) S O`Z C 70 A PERMIT# 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 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 oL Hose Bibs Urinal Kitchen Sink �_ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater —l— 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 ** SJR WD 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�� 1 ) too d �Q el Phone Number c�W 91 'O 6,23 1 Plumbing Company LARR.R-Y r atd i%d-Sor�S &U Mint ti!(.-I Office Phone -4 7 0 ,299 Fax J.q 9' 96 cl Co. Address: 4._�- QN N ERS_ City ee Q State-JJ Zip 3 ZZ4w License Holder(Print): UO L:� State Certification/Registration# C— CQ01 sag Notarized Signature of License Holder MELANIE A.DARLINGTON Sworn and subscribed befo e me this � day of Ul' 204 .� •�: MY COMMISSION*EE198M �. EXPIRES May 1S.2016 Signature of Notary Publi laWtq �