1939 Brista De Mar 2014 plumb CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 14-00001300 Date 8/13/14
Property Address . . . . . . 1939 BRISTA DE MAR CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
14 fixtures
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Owner Contractor
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HUGHES, JEFFREY WILLIAM & ANNE TDG PLUMBING
725 GUADALUPE AVE 4426 LOYS DRIVE
CORANODO CA 92118 JACKSONVILLE FL 32246
(904) 545-7341
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 153 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/09/15
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30
STATE PLBG DBPR SURCHARGE 2 . 30
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 153 . 00 153 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 60 4 . 60 . 00 . 00
Grand Total 157 . 60 157 . 60 . 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
.TOB ADDRESS: I 3 Q r' 1:V0 OcL ,thact. �, �'c,l e 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 WasherShower
Dishwasher �t — 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 6oWater Treating System
MISCELLANEOUS: Xreas4h"t_erceptor
❑ Sewer Replacement ❑ Back Flow Preventer (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD 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 Phone Number
Plumbing Compan=M C. h b: ON Office Phone�Stl5 7 7 341 Fax ►�-4 1SS_V
Co. Address:LA 43(- L0.14"Is (XZ City �.. StateFL- Zip 3 2
License Holder(Print)• State Certification/Registration#G Vr[•-14'2"7 d`2
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public