Permit 3210 Fleet Landing Blvd Application Number . . . 10-00000357 Date 3/29/10
Property Address . . . . . . 3210 FLEET LANDING BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
2 fixtures
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Owner Contractor
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NAVAL CONTINUING CARE DAVID GRAY PLUMBING INC.
RETIREMENT FOUNDATION, INC. 8850 CORPORATE SQUARE CT.
1 FLEET LANDING BLVD JACKSONVILLE FL 32216
ATLANTIC BEACH FL 32233 (904) 744-7255
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 76 . 00 Plan Check Fee . 00
Issue Date Valuation . . . . 0
Expiration Date . . 9/25/10
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Fee summary Charged Paid Credited Due
------- ---------- ---------- ---------- ----------
Permit Fee Total 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 76 . 00 76 . 00 . 00 . 00
Mar 29 10 09:47a DAVID GRAY PLUMBING 904 723 5668 p,2
PLUMBING PIERAUT APPLICATION
Chir OF ATLAiV'7 c BEACH
900 Seminole Rd Atiantic Beach,FL 32233
Ph(904)_247-SM Fwc(904)247-5945
JOB ADDRE4S: (l �� . ��jyvinir >L✓J P PRRNwr#
NEW OP.REPLACEIISENTINSTALLAMON: Project Value S_
Tnw oFFzrnmE QTY ?PPE OFFbUVBE Qrr
BathtubS z ank&Pit
Ck4bes Waster
Dishwasher Shower Pan �
Drinicing
glop Sink
FloorDndTLrm Cotapart mens Sink
Floor Sisk Toilet
Hose Bros TJrbw
Kitchen Sink Vacuum Bteealaxs
Lazmdry av Tray Water Carmected Appliances
ry Water Heater
-OtbervDames j�9 ✓s __� Water Ttzaftezg System
RE-PIPE:
z"PEOFFIXnDW QTY TYPE op FbavxE Qom'
Bad tub S�Tank&Pit
Clothes Washer
Dishwasher Shote pan
Drinl®g Fountain _ Slop Sink
Floor Drain Three Goaparbucnt Sink
Floor Sink Toilet
Hose Bibs I7rinal
Kitchen Sink
Yactnma B�epkeRx
Lauiidij,'TreY Naber Connected Appliances
Lavatou FENter
Other FKttU+cs W�
i Treating Sys
MLSCELLANEOUS:
❑ Sewer Reglacxmeat D Back Flow Precerrxr o Grease Interceptor(Trap) gallons atequtm 3 sets orplam)
C `Lawn Sprinkler System Number of Heads o We1I *:
&aWD Well Oampletion Form.Completed foam W be submitted to t 10divg Department for final inspectior..**
'armit becomes void if work does not commm=within s six mouth period or work is suspended as abnadaoiod for sic moadLs.I hweby=t*that I have read
his spplitadoa and know the sant*to be true mid comm. All pm*sious of ims and ordbunces p vA=dng this work wilt be complied wits►whcdm sp=lSed
n noL Mw perp*does not give authority to violme the pmvicsioos of any otber stale or lod law regulation wnsw=don or the pedbrauoce of eoastauctioe.
'roperty Ownets Name y •`i srj4j-J d,N4 Phone Numbet
'lu mbing Company Clov Gray Plumbing, Inc. Office Phone7 � .� Fez-:,•J^.SSS d 3
`.c.Address:. .1-t sowae llofide 32215 city State Zip
Acense Holder(Print): oto F 4wpw State CertificadOnMzgLqrafion#
tratarimd Signature of Lkense Bolder
Swam and suhsccs'bed before me this 'Ofl 2p i 0
Signsture of Notary Public
F.rs+ Notary?ublic State of Flodde
Neal R Major
� My Comr ,issior DD602560
eind
Expires 12+2012010
9ll4-241-5845
P.1
PLUMBING PFAMT APPLICATION
CITY OF ATLANTIC BEACH
S00 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDREss:
PERMPT#
NEW OR.REPLACEIMNT INSTALLATION: Project Value
TYPE OFF7XTp]e,E Q�p TYPE OFT'�lTi`!RE
Bathtub QTY
Clothes Washer Shpower Tank&Pit
-Dis mmsher
Drinking Fountain 9blowerpim
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
dose Bibs Toilet
Kitchen Sink Utica
TVamum.Breakersray om. - Wer Connected AppIitutces
Water T�g system
.
RE-PIPE:
TYPE OF FI aUjW
Bathtub QTY TYPE OF Fbavxg Qom,
Clothes Washer Septic�Tank&Pit
Dishwasher
Drinking Fom2tain Shower Pan
Floor Drain _.__._ _ Slop Sink
Floor Sink Three impartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuunn Bre�rkt _
Lavatory Water Connected Appliances
Other Fhaures Water Heater "--
Water Treating System
NUSCELLANEOUS:
❑Sewer Replacement ❑Back Flow PreFenter ❑ Grease Ince
71 Lawn S _ rceptor(TraP) gallons(Requires 3 sets of pleas)
�D Completion-Numb
oorm. Co glef�ft 1m to be submitted **
0 well
d to a Building D�for final inspection.**
I(Other._.... t C y' ). inspection.
_ -. ��G#G�'.= - �rid i 1� �y� i��✓
'ermit becomes void if work does not commence within a six month
his application azul know the same to be true and correct. All period or work is suspended�abandanod for six months I her
��thft I have read
w not The permit does not give authority to viioiate me pSOv o o staid or 1 ions ofkws and ordbumces;90�ag this work wiU be eonmplie�wi��t����
"e— mon construction or the pecformsncx of
�Y Owners Name_ /c A- f �nsoucann.
'lambing Company �81t1 ray PIum�6ing, nC. Phone Number x ygc"'o
Office Phone_7ZS',�
,o. Address:
.icease Holder(Print); i)Rt p City State Zip _
State Certification/Registration# G'�G10IMS7d 6-
Jotarized sigrtahsre of License Holderstate
and subscribed before me this �l(,rt
Signage of Notary Public
/ o A 20 i Q
,0*(P&,
Notary Public State o/Florida
;Q Neal R Major
oQ My Commission DD602560
Ex ires 12/20/2010