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Permit 711 Vecuna RoadCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000949 Date 7/29/10 Property Address 711 VECUNA RD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc 6 fixtures ---------------------------------------------------------------------------- Owner ------------------------ Contractor ------------------------ GUIRON DAVID GRAY PLUMBING INC. 711 VECUNA 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 --------------------- ----------------------- Permit -------------------------------- PLUMBING PERMIT Additional desc . Permit Fee 97.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/25/11 ------------ ----------------------- Fee summary ---------------- --------------- Charged ---------- -- -------------------------- Paid Credited Due -------- ---------- ---------- - Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .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 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEAC~I 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JoB AnnRIESS: ~ `l l/2G~ y'!. ~. ~~. PERMIT # NEW OR .REPLACEMENT INSTALLATION: TYPE OF FIXTURE Bathtub Clothes Washer I?islsvvastQer Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory er Fixtures RE-PIPE: TYPE OF FLYTZiItE Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures Q~ Project Value S TYPE OFFIXTURE Q~ Septic Tank & Pit Shower Shawcr i'an Slop Sink Three Compartment Sink Toilet 'CTrinai Vacuum Breakers Water Connected Appliances Water Heater Water Treating System QTY TYPE OF FIXITIRE Septic Tank & Pit / Shower Shower Pan Slop Sink ._- Three Compartment Sink Toilet Urinal T- Vacuum Breakers Water Connected Appliances T-^ Water Heater Water Treating System Q~ NIISCELLANEOUS: ^ Sewer Replacement ^ Back Flow Presenter ^ Crrease Interceptor (Trap) gallons (Requires 3 sets of plans) ^ Lawn Sprinkler System Number of Heads ^ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ^ Other ,-_-_-. _ ~,_ Permit biomes roid 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 appllcation and know the same to be true and correct. All provisions of laws and ordinances goveaung this work will be complied with whether specified or not 'Iltc 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 ~ j c151 _ ~ UC ~ n Phone Number ~ `lei -' GZ/Z- Plumbing Company David ra°~'~~~lmbing, ~ne. Office Phone 7~~ 7z~'sr' Fax. °723-.~6~'8 8850 r7rc7ral~ ware Co. Address: ~ ..re~ c"e~~~~~~a~ City State Zip License Holder (Print): l/AJ'lt~ Y ~fZ.A^f _ State CertificationlRegistration # GAG d~~-2~5~6 Notarized Sig-eatacre of License Holder Sworn and subscribed before me this ~ ay of Signature of Notary Public 20~ ~r a~ Notary Public State of Florida `~ Neal R Major My Commission DD602560 ~or a~ Expires 1212012010 _ - U~/1