Permit 134 Magnolia StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000858 Date 7/13/10
Property Address 134 MAGNOLIA ST
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
1 f fixture
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Owner Contractor
------------------
KERR ------ ------------------------
DAVID GRAY PLUMBING INC.
134 MAGNOLIA STREET 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 0 904-247-5845 p.1
PLTJMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACI3
S00 Seminole Rd Atlantic Beach, FI.32233.
Ph (904) 24.7/-5826 Fax (904) 247-5845
JoB AnnR>~ss• %~ ~ ~~/!' d ~l14 sf~~~'~ PERNn'r # _
NEW OR REPLACEMENT INSTALLATION:
TYPE OFF7XTURE QTY
Bathtub
Clothes Washer
~ishvrasher
Drinking Fountain
Floor Drain
Floor Sink
rose Bibs
Kitchen Sink
Laundry Tray
Lavato~
Other fixtures
RE-PIPE:
Septic Tank & Pit
Shower
Shawarr Pan
Slop Sink
Three Compartment Sink
Toilet
Urinal
Vacuum Breakers
Water Connected Appliances
Water Heater
Water Treating System
TYPE vF F;~~ QTY 7'YP~ of F~eTaxE
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher
~ Shower Pan
otultam
' g
D
~_"
~
a Slo Sink
~
__ ._
oo
r D-r
tn Compartment Sink
Thr
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Q~~ F~ Water Treating System
Q~
g~
MISCELLANEOUS:
^ Sewer Replacement ^ Back Flow Presenter ^ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
^ Lawm Sprinkler System Nc~ber of Heads ^ Well
** SJRWD i~ell ~ampletion Form. Completed form to be submitted to the Building Department far 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. I hereby certify that I have read
this application and know the saint 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 'oiate the provisions o€ any other state or local law regulation construction ar the performance of construction.
Properly Owners Name !C ~ iQ Phone Number ~~ ~ 6 4~x
Plumbing Company ~~~ ~aY QlUmbing, nC. Office Phone 7~~`~~-~~ Fax 7:.-3-~~~~
Co. Address: Ia~~r,n~~p,,.~~o,~~~,~~1~ Cit3' State Zip
License Holder (Print): l~~p Fg ~Z'l2~ State CertificationlRegistration # Ci~~ d x~'~' ~~
Notarized Signature of License Holder
Sworn and subscribed before me this_~ ~y of z0.~,
Signature of Notary Public
Project Value $
TYPE OFI'7XTURE
~M„~r p4~ Notary Public State of f=iorid~
Neal R Major
My Commission DD602560
~orn Expires12~2Ui2iltn