54 W 10th St Irr 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001358 Date 8/21/14
Property Address . . . . . . 54 W 10TH ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . COM GENERAL DISTRICT
Application valuation . . . . 0
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Application desc
irrigation
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Owner Contractor
-
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JACKREL, TED D & DEBRA A STEEG PLUMBING CO. , INC.
13707 LITTLE HARBOR CT P.O.BOX 330536
JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233
(904) 249-5191
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Permit PLUMBING PERMIT
Additional desc .
Permit Fee 62 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/17/15
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Other Fees . .
. STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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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.
G PETIT AYE.ICATIO
CJS OF ATLAN nc BEAD
y 800 Seminole P.d Atj�t-c Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
PERMIT
ESS:
JOB ADDR,
NEW O$REBLA.CEWI-Ti STTALLATION-I: Project Value S
T z-'E OF F.Zxn-RE On-
Tz�E O.F.�t�uZ'.,E ®.t,�
Septic Tank&.Pit
Bathtub
Shower
Clothes Washer
Dishwasher Slop
Pau
ung Fountain Slop Sink
Floor Drain Toilet Compa��nent Sink
Toilet
Floor Sink Uriinal
Hose Bibs Vacuum.Breakers
Kitchen Sink ! Water Connected Appliances
Laundry Tray water Heater
Lavatory Water Treating System
Other Fixtures
-PTFE; OTY
7'y-FE OF FDJVRE ® SPE OF FDaVRE
Septic Tank&Pit
Bathtub
Shower
Clothes Washer
Dishwasher Slop
Pan
Slop Sink
Dunking Foun``a,n
Floor Dram Toilet Compaeut Sink
Toilet
Floor Sink Urinal
Hose Bibs Vacuum.Breakers
Kitchen Sink WaterConnected Appliances
Laundry Tray Water Heater
Lavatory - Weer Treating Syst—
Other Fixtures
MISCELLANEOUS: gaUous(Requires 3 sets of play
S ewer p eplacement u Back Flow Preventer j C x ease interceptor(Trap) *
Lawry S
xi�nkler System Number of Herds�_ C Well D artn�.ent for fal inspection.
X SJRP Well Completion Form. Completed form to be submi ted to the,_Building e?
Ei Other
or certify that I have 1
this ended work wall be complied withce of constn:�io�
pe,snit becomes void if work does not comy'zence co> a1� o o f 1 w5°a a o a,nan� >;ovezzun� ed for siX moZths.I hereY
-dais application anal IOOw the same to be true and p v other state or Local law rcgula`it on coaauu�Oa or the petforwa?a
o-not. The permit does not give author:-to violate the provisions of an, Phone Number
?ro-oerty Qw-ners Name _T/a 11/%e
S G h Lj office
Ph e7yQ�lelGI/ � Zi
r�
Ply ablilg Company City State p�� ��—
C c. Address:
A; 1� S`tate CerrificatiO,.aeestra'.on Y
x,-cense Halder(Print):
Mer 20
Shirley L Graham e -S
0
My commission FF 086990 word RiZd ibscr'ibed beror
or h Expires 02114/2018 Q
Signature of Notary