2244 Becahcomber trl repipe 2014 CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J!tit
Application Number . . . . . 14-00001455 Date 9/04/14
Property Address . . . . . . 2244 BEACHCOMBER TR
Application type description PLUMBING ONLY
Property Zoning . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
REPIPE 18 FIXTURES
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Owner Contractor
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WOLF, ADAM H & DANIELLE ADVANTAGE PLUMBING
2244 BEACHCOMBER TRL 880 MAYPORT RD
ATLANTIC BEACH FL 32233 J 2
ACCKSONVILLEBEACH FL 32240
(904) 247-9848
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . Plan Check Fee . 00
Permit Fee . . . . 181 . 00 0
Issue Date Valuation
Expiration Date 3/03/15
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OSTATE PLBG DCA SURCHARGE 2 . 7
Other Fees
STATE PLBG DBPR SURCHARGE 2 . 72
_ -------_--------------------------------------------------
Fee summary Charged
Paid Credited ----Due---
. 00
_ _ ----------
----- ----------
- . 00
Permit Fee Total 181 . 00 181 . 0000 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 5 .44 5 .44 . 00
Grand Total
186 .44 186 . 44 . 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) 247-582-6 Fax(904)247-5845
JOB ADDRESS: r � xy� -�� PERNIIT#
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 Tray Water Connected Appli s
Lavatory Water Heater
Other Fixtures,��,(911�-- Water Treating Syste
Lam''".
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SJR 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 1 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 an other state or local law regulation construction or the performance of construction
7:;7
r 5 a—6
Property Owners Name ��
Plumbing CompanyPEOffice Phone ax
Co. Address: City State �' Zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Ho er
r�9`'•
JWEY"GCNRWY Sworn and subsc ed before me this day of 204
"-
MY COMMISSION t FF 005605
EXPIRES:Jury 21,2017. Signature of NotaryPublic