2233 Seminole Rd 2014 # 33 repipe CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001341 Date 8/19/14
Property Address . . . . . . 2233 SEMINOLE RD UNIT 033
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 0
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Application desc
14 fixtures
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Owner Contractor
-
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HIONIDES, CHRIS & NADIA F.W. FAIR PLUMBING CO.
P O BOX 330108 P.O. DRAWER 51558
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 241-7191
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . . 00
Permit Fee . . . . 153 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/15/15
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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
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.TOB ADDRESS: �� ?J L•',0
WD Q� � �� PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oFFIXTURE 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 j
Dishwasher —�— Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers i
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 anther state or local law regulation construction or the performance of construction.
Property Owners Name 6Y4 j Phone Number o7 f/ rI
Plumbing Company F W A4 ' P,U ty-B Office Phone 2 I L -71qy Fax?-
Co. Address: U
Ci T Stat- zip 3L2
License Holder(Print): at fication/Registratio 'It 3�5U
Notarized Signature of License Holder
Before me this y of 20
Signature of Notary Public