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Permit 200 Fleet Landing Blvd Application Number . . . . . 10-00000358 Date 3/29/10 Property Address . . . . . . 200 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 water heaters ---------------------------------------------------------------------------- Owner Contractor ------------------------ DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/25/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 62- Mar 29 10 09:50a DAVID GRAY PLUMBING 904 723 5668 p.1 p.1 .PLUMBING PERWT AFPLXCATI©N CITY OF ATI.ANUC BEACH "i 800 Seminole Rd Atlantic Beach,FL 32233 n0 D Ph(904)247-:5S26 Fax(904)247-5845 6" JOB ADDRESS: L�Fi'f�h`Dr�l¢' !,j��i✓4 �� �" , PERNar# NEW ORREPI.ACBMENTMSTALLATION: Project Value3_2:,rd � TrpxoFFzcrujw Q77 TtPBOFFZGVJ E Clodies Washer c Tank&Pit ShowerPem rl=tz stn Slop Sick Floor Sink TCompartment Sink #dose BibToilet s UrinalKitchen Sink vac uum Bct�rs LavatoiyLaundry Irtts _- WOW Cam Applitmces -0awndutss Wena Heaton W:ter T eeiing SYAM RE-PIPE: TSE oFFk0VRR QI7 75ePE OFFD0VJM Q Ba�dtb >T Clothes Washer ;F Tank do Pit Dear Shower Pae DFinlcWpg Fountain - Floor al in Floor Sink -- - w8taparument Si nk Roe Bibs Toiat Y-kcj n Sunk LhiaaUrinal l B... . �Tom` Waoar Comi6cted Appliances Otber Fbdww Water Heater Water Treating system MISCELLANEOUS: o Sewa Rep]ac emew o BRC&Flow Preventer o Grrease Interceptor(Trap) gallons 3 Lawn� (Ite4aires 3 nets of pleas) Sprinkler System,Number of Heads O Well *R **ST WD WrJ1 C'6rnplefion Form. Completed fora to be submitted to tfi"c��I)epsortrneat for final inspection.** -'Other... . 'armit bocomcs void if wor kdoes not commence within a six zDaath pa iad err worl�is his appllcatios�stall kww the same to be vue and cornea. All suspended arabaadoeed for six mmths.I hereby certify test I have xrsd ptovisiaps oehtvvs and aod"masxcs u not 7be pme does not gine autba ft to vie the provisions of arty other stare or local kw regu�ina Sone��wide w rco sx3 jo.. 'ropecty Owners Name f L er�1p vpia�� Phone Num -f � >lumbing Comfy FYI t'sy Ulil Ilii, IM. 0f5ft Phone 122ErA ;o.Adciness: .._. s Faz_1:3-5'eS�S 12ti on Eladda IA city State zi Accnse Holder(Print): &W.-V � l7'> P Cer"catiaahtegisttarion fafA:rizedd Sigmdar--ofLicense Balder Swom'and subscribed befiore me this day of _20 f6 Sivaga re of Notary Pubfic Notary aj StareolFbrida Neal R f�Aajor Mr Commimio DD602560 orn Ea ' 12/20/2'910 111JU111rduorl �YstetnsC[Ty O 904247-5845 P.1 PLITMBING PERMIT APPLICATION CTrY OF ATLANnC BEACH 800 Seminole Rd Atlantic Bcacly FL 32233 00 Ph(904)247-5826 Fax(904)247-5845 Jos PE1tl4IIT# NM OR.REPLACEMENT INSTALLATION: Project Value$ 2--d !'7� TSE oFpzrr aE Q� Bathtub TYPE oFFTU1eE QT.p Clothes Washer Septic Tank&Pit Shower Drinking Fountain Shower raft Floor Drain Slop Sink Floor Sink Three Compartment Sink hose Bibs Toilet Kitchen Sint: Urinal LmmdryTray Vacuum Breakers Lavatcliv mer Water Heater Appliances r RE-PIPE: Water Treafiag SySystem —'� TYPE OF FIXT r w'BaQTy TYPE OF F'DYTp7?�S ' lo thes hes Washer Septic Tank&Pit Clothes Dishwasher Shower Shower Pan DrinkknZ Fountain Floor Drain _:... _ Slop Sink Floor Sink Three Compartment Sink Rose Bibs Toilet Kitchen Sink Urinal. ------ Laui6dry Tray Vacqum B Lavatory Water Connected Appliances Other Fixtures Wates Rester — Water Treating System MBCELLANEOUS: ❑ Sewer Replacement ❑Back Flow PreVenter ❑ Grease Inter El Lawn Sprinkler _ emptor(Traly) gallons(Requires 3 sets of plans) **SJRWD Well Ca p �Other. .. letion FormrCo fileted fo m of be submitted to the ** Buildu'!g lrk per,for final inspection.** . . ... . 'eatnk becomes void if work does not oomm==within a six mmrth his vollcadon and]mow the same to be true mW c Anna. period 011 w°1k is suspended m ahandonod for six months,I hereby ,r ooL The permit does not give authority to vi kdc the prove/'ons o�€far�iyo state or 1 mvaning this work will be compliwith whether sped 'mperty Owners Name f G� F�� f-i� pl ecy of radon construction or the Performance of construction. 'lumb' Corn i�iil ray P um ing, ne. Phone Number –Q�6�J � PAY Office Phone_f ?t- �o. Address: City State Zip ,icense Holder(Print): i�✓t p f- rcG; Tota . f t Acation/Regist ration# !C6,Gf d 7_X 6zed S' afore o license Holder S Cer Sworn-and subscribed before me this day of zo r16 Signature ofNctary Public �o�aa(p, Notary Public State of Florida Neal R Major My Commission 00602560 . °F Ex ires 12/20/2010