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2321 Seminole Rd 2014 Plum repipe CITY OF ATLANTIC BEACH s J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jjilt Application Number . . . . . 14-00001390 Date 8/25/14 Property Address . . . . . . 2321 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 --------------------------------------- Application desc REPIPE AND SHOWER PAN 15 FIXTURES -------------------------------------- Owner Contractor ---------------- ------------------------ ENEZES, RODGER ROLLAND REASH PLUMBING . M ENE ES 187 TER 11501 W COLUMBIA PARK DR #208 SW MIAMI FL 33157 JACKSONVILLE FL 32258 (904) 260-7059 -- ------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc Plan Check Fee . 00 Permit Fee . . . . 160 . 00 0 Issue Date Valuation Expiration Date . . 2/21/15 -------------------------------------------- ____ _ _ - --------------------- -- ------- Other Fees STATE PLBG DCA SURCHARGE 2 .4 STATE PLBG DBPR SURCHARGE 2 .40 ----------------------------- Fee summary Charged Paid Credited Due ---- --- Permit Fee Total 160 . 00 160 . 00 00 ----------------- ---------- . 00 Plan Check Total . 00 . 00 . 00 . 00 00 . 00 Other Fee Total 4 . 80 4 . 80 . 00 . 00 Grand Total 164 . 80 164 . 80 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: wa he PERM1'T 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 TrayWater Connected Appliances Lavatory — Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement El Back Flow Preventer El Grease Interceptor(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 autho it to violate the provisi s of any other state or local law regulation construction or the performance of construction. Phone Number Property Owners Name O� Faxo�6o-49' Plumbing Company O Office Phoneo Co. Address: Q� City t State/ ` Zip License Holder(Print): 4L� 'fication/Re istration#GAJ-L'-��7/Il Notarized Signature of License Holder Pam E. Quarrels day of 20 � rP4`� COMMISSION Before in this _4t _ �� -*4 EXPIRES:FEB.12,2015 %.;;� °• WWW,AARONNOTARY.com Signature of Notary Public �— ,,,,