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Permit 499 Selva Lakes CircleCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000859 Date 7/13/10 Property Address 499 SELVA LAKES CIR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc 1 FIXTURE ---------------------------------------------------------------------------- Owner Contractor ------------------ ODONOVAN ------ ------------------------ DAVID GRAY PLUMBING INC. 499 SELVA LAKES CIRCLE 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 --------------------- - (904) 744-7255 - Permit -------------------------------------------- PLUMBING PERMIT --------- Additional desc . Permit Fee 62.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date -------- 1/09/11 --------------- Fee summary ----------------- --------------- Charged ----- ----------------------------- Paid Credited Due --------- Permit Fee Total ----- -- 62.00 -------- ---------- ------- 62.00 .00 --- .00 Plan Check Total .00 .00 .00 .00 Grand Total 62.00 62.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsClTY 0 904247-5845 p.1 .PLUMBING PERMYT APPLICATION CITY OF ATI.ANTI~C BEACI3 S00 Seminole Rd Atlantic Beach, FL 32233 /~ Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: G~T ~f~-1/~ rG ~IC~S ~l R~l.~' PERMIT # NEW OR REPLACEMENT INSTALLATION: TYPE OFF'IXTURE QTY Bathtub Clothes Washer Dishwasher Drinking Fountain Fluor Drain FIoor Sink Fiore Bibs Kitchen Sink Laundry Tray Lavatory ~04~er Fixtures RE-PIPE: T)!'PE of FIXTiiR.F Bathtub Clothes Washer Dishwasher Drinking Fouurtain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures MISCELLANEOUS: Septic Tank & Pit Shower ~Shawer P'an Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected AppIiartces Water Heater Water Treating System QrY TYt-~ of 1~~vxE Septic Tank & Pit Shower Shower Pan __ Slop Sink .. ._._.._-- Three Compartment Sink Toilet Usinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System QT.f, ~~ ^ Sewer Replacement ^ Back Flow Presenter ^ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ^ Lawzt Sprinkler System Number of Heads ^ `Nell ** SJRTYD Well ~ampletion Form. Completed fozn~ to be sut~mittecl to the Building Department for final inspection.** o Other ... _ __ Permit becomes void if work does not commence within a six month period or work is suspended of abandoned for six months. I hereby certify that I Gave 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 autho ' violate the provisions of any other stau or local law regulation construction ar the performarnce of copnstnrction. Property Owners Name ~ 1~ ~~d /1l 1~ IQ' N Phone Number __ ,~ 34~~ /~ 6 g ~ Plumbing Company ~~ ` r~Y ~IUm Ing, t1C. Office Phone %~rf'~•i ~.~~ Fax 7~3-5~~$ Co. Address: Ja~~rsonr~i~~~e, ~tlfi~~~322~~ City State Zip License Holder (Print): li~tt,~ f Notarized Signature of License Holder _ State Sworn and subscribed before me Signature of Notary Public Project Value $ TPPE OFF7XTURE day of ~,~ 20~ ~~~ Notary Rubl'ic~`a18te of Florida Neal R Major ~,4~ My Commission DD602560 ~'~'o,aa` _ _Expires 12/2012010