810 Sailfish Dr 2014 plumb CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4 JF3
Application Number . . . . . 14-00001489 Date 9/10/14
Property Address . . . . . . 810 SAILFISH DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Repipe
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Owner Contractor
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TAFURI, CASEY CELTIC CUSTOM PLUMBING INC.
2650 2 ROSSELLE ST PM BOX 118
JACKSONVILLE FL 32204 4446-1A HENDRICKS AVE
JACKSONVILLE FL 32207
(904) 396-6757
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPIPE
Permit Fee . . . . 146 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/09/15
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 19
STATE PLBG DBPR SURCHARGE 2 . 19
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146 . 00 146 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 38 4 . 38 . 00 . 00
Grand Total 150 . 38 150 . 38 . 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
Jos ADDRESS: Z��� ``� •�� O Q -� �W33 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 1
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs 2 Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 'L Water Heater 1
Other Fixtures O 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 **
**SIR WD 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 L Q S 1< 07- Phone Number
Plumbing Company. L s�\s- ��� � J� -\Affice Phone ��tii ��1 Sit Fax
Co. Address: ��ckS �orc. City �a�X�Sa����� State
License Holder(Print): ���`� ��oAv�C' State Certification/Registration#
Notarized Signature of License Holde
B fore me this AJ da o 20 l
Signature of Notary Publi