2233 Seminole Rd # 43 water heater2014 CITY OF ATLANTIC BEACH
A800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001194 Date 7/25/14
Property Address . . . . . . 2233 SEMINOLE RD UNIT 043
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 water heater
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHNSON, WILLIAM M. AMELIA PLUMBING
2233 SEMINOLE RD # 43 2232 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 821-8355
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/21/15
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
07/25/2014 02:15PM 9042235365 AMELIA PLUMBING INC PAGE 01/01
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
26 Fax 904 247-5845 1"
.,, Ph(9f14)247 58 ( )
vPERMT#
DA
Jos ADDRESS: 3 M lwa -
NEW OR REPLACEMENT INSTALLATION: Project Value�
TYPE OF,FIXTURE QTY TYPE OF FIXTURE QT Y
BathtubSeptic Tank&Pit
Clothes Washer Shower
,Dishwasher Shower Pan
Drinking Fountain Slop Sink =r
Floor Drain Three Compartment Sunk
Toilet
Floor Smk
dose Bibs � Urinal �- �---
14osen Sink Water
Breakers
KitcheLaundry Tray, _ Water Connected Appliances
Lavatory Water Heater �w
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF.FIXTURE Qry TYPE OFFIXrUR,E QTY
- Bathtub Septic Tank&Pit
Shower
Clothes Washer
Dishwasher �" . Shower Pan
Drinking.Fountain Slop Sink - —
Three Compartment Sink
Floor Dram
Toilet
Floor Sink
Hose Bibs - � Ursnal
Kitchen Sink Vacuum Breakers
Laundry Tray .� Water Connected Appliances
Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: alloys(Requires 3 sets
0 Sewer Replacement a Back Flow Preventer �Grease Interceptor(Trap) g
of pleas)
Lawn Sprinkler System-Number F leads�, well
,S',JRWD Well Completion Form. C ::xpleted form to be subloaitted to the Building Department for final inspection,"
Other
Pennrt becomes void if work does not commence within a six month period or work is ssrspendcd or abandons for six months.1 hereby certify that I have red
be C4
this application and know the sarne to be true and correct.rAlll provisions
any other state oof laws and rllocal 1 w mgulati n goveming constructionis vOrk ,orr die p lerformance of construcplied with whether cttiio ed
n.
or not. 'rhe permit does not give authority to viols rt phone Number
Property Owners Naml , _ (p-�-jo) Fax
Plumbing Comparxy `l
.1�bl Offi Pho e
Co. Address: P. �Jd
15� City � State�Zip
License Holder(Print):
tate Certi cation/Registration#
Notarized Signature of License Holder 20�
Sworn and subscribed be et ' day of