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Permit Plumbing 312 2nd St 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Zr ' .1 Application Number . . . . . 12-00001904 Date 1/18/13 Property Address . . . . . . 312 2ND ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc Kitchen and Master Bath Remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGANTE, JILL HIGGINBOTHAM CUSTOM HOMES LLC 312 2ND STREET 8518 103RD STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (352) 682-5263 (904) 247-5845 --- Structure Information 000 000 INTERNAL REMODEL KITCHEN MSTR BATH Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc REPIPE 14 FIXTURES Sub Contractor BECKWITH PLUMBING INC Permit Fee . . . . 153 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/17/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30 STATE PLBG DBPR SURCHARGE 2 . 30 ---------------------------------------------------------------------------- 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 PERN"T 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 NO JOB ADDRESS: Ir PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ Q I M TYPE OF FixTURE QTY TYPE OF FixTuRE QTY Bathtub Septic Tank& Pit Clothes Washer Shower A Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs ZnN 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 I Urinal Kitchen Sink I Vacuum Breakers Laundry Tray Water Connected Appliances J Lavatory !9 Water Heater Other Fixtures Water Treating System MISCELLANEOUS: • Sewer Replacement D Back Flow Preventer i-.-i Grease Interceptor(Trap) gallons(Requires 3 sets of plans) • Lawn Sprinkler System-Number of Heads Ej Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." El 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 �6'kx�Nv�".J_ 1,jr- Office Phone 61?� 7W54) Faxi�F_3 02�f Co. Address:';� 10440.4 to �i City State,'r-/:' Zip Ilk.I d— Wt License Ifolder(Print): ng& S e Certification/Registration# C r" Notarized Signature ofLicens yx/� Sworn and subscribed before me this ay t6909800 UQIS�"�L; Vy Signature of Notary Public UVA111nsU6AQJS Aelp i tM t"!qt1d ,&AL Jk.& W