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135 Magnolia St 2014 Plumb CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001170 Date 7/23/14 Property Address . . . . . . 13S MAGNOLIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPIPE S FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCCONNELL LIFE ESTATE, ANNE T PLUMBERS INC.OF JAX 135 MAGNOLIA ST 6271-24 ST AUGUSTINE RD #3S6 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 724-1945 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/19/is ------ ---------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 Ph(904) 247-5826 Fax (904) 247-5845 JOBADDRESS: t2//� L 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 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: Ei Sewer Replacement Ei Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads El Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." El 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 provis�ns��any other stat or local law regulation construction or the performance of construction. Property Owners Name Phone Number. Plumbing Company ;4t7C OI&A Office Phone ��Fax Z, State -//- Zil) Co. Address: 45L City License Holder(Print): oela 11�3 M _J State Certification/Registration#cAe 46 79Z Notarized Signature of License Holdef\ - c . _r- A�>M %_�_ efd�'.e'tb i s 2,'S.day o 20 .f Vv �lotory Public SWO of Florida 14 t ignature of Notary Public 00, Shirley L Graham "y cOmmission FF 086990 "PiftO 02/14/291 a