762 Aquatic Dr 2014 Plumb ?I!A:•L`1 r1 �
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
. � ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00001333 Date 8/19/14
Property Address . . . . . . 762 AQUATIC DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
shower pan
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Owner Contractor
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XINGPING CHIN ADVANTAGE PLUMBING
762 AQUATIC DRIVE P O BOX 49225
ATLANTIC BEACH FL 32233ACKSONVIL E BEACH FL 32240
(904) 472-3452
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Permit PLUMBING PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 62 . 00 0
Issue Date Valuation
Expiration Date . . 2/15/15
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Other Fees
STATE PLBG DCA SURCHARGE 2 •
00
STATE PLBG DBPR SURCHARGE 2 . 00
_ ________ ----
Fee summary Charged
Paid Credited ----Due---
. 00
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- . 00
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoB ADDRESS: 262 PERMrr#
NEW OR REPLACEMENT INSTALLATION: Project Value$ X000,UD
TYPE oFFIXTURE QTY TYPE oFFIXTURE 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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SIRWD 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 Company d-I- ��� t n'' / Office Phoned 7 `�� F
Co. Address: �D
City�1 i%/_ State Zip
License Holder(Print):
tate Certification/Registration# efi� 2
Notarized Signature of License older
Sworn and subscnbodbefore me this day of 20
Signature of Notary Public