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Permit Plbg 2010 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001006 Date 8/13/10 Property Address . . . . . . 1117 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/09/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 69 . 00 69 . 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 SystemsCITY O 904-247-5845 p.1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(9044)247-5845 JOB ADDRESS: 1 -"111-7 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oFFjxmRE QTY TYPE oFFixrURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher -Shower P Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavato Water Heater -Other`Fixtures �y+t✓� �_ Water Treating System RE-PIPE: TYPE OF FD9V-AE QTY TYPE o.F Fva-vRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System NUSCELLANEOUS: ❑ Sewer Replacement ❑Bark Flow Preventer ❑ Grease 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 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 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 authority toviolate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 6Vii:'7r I-1w1l'of Phone Number 7-A `g9dd Plumbing Company —0-9-Vld Gray Plumbing, Inc. Office Phone Fax Co. Address:_ Jat sonyll l,e, R+p�tlli elf+ City State Zip License Holder(Print): p4wfo 4�glq-1 State Certification/Registration# C)V d,42-S 44 Notarized Signature of License Holder 2:LA / Sworn and subscribed before me this fY day of 2Q/6 Signature of Notary Public AW Xlt- ,of P4" Notary Public State of Florida +P Neal R Major My Commission DD6025W o*+► E 'res 12120/2010 AL X_ �_OA� A-V1.1 LANTIC REACH zuv Ri.Atilantic Be" FL 32233 Fes:(904)247-5845x JOB ADDRESS: / CAe`,r I-Ittv PW 4 Jf/7P]Ewmn 10 ff NEW OR REPLA CEMENT INSTALIAITON: Project Value S TYPE or FDaVAE Q2Y TJ7ffOFF2XZVJtE QTY Batbtub Septic Tank&Pit Clothes Nastier Shower Clishwasher Shower Pan Drinking Fountain Slop eMmaL Floor Drain ThImpartment Sink Floor Sink Toilet Hose Bibs Tjrbw Kitchen Sink Vacuum Break= Laundry Tray Water Connected Appliances Lavatory Water Heater 'Other FhAtIlres YAWJr Water Treating System RE-PIPE: TYPE OF pambw q77 TYPE of Fnaviw QTY Balbtuib Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Plrinkiasg Fountain Stop Sink Floor Drain Three Compartment Sink Floor Sink Toilet How Sibs Urinal Kitchen Sink Vacuum,1$Mak— LaundryTivy Watiw Conne�,ct—ed-Appliaaces Lavatory Water Heater Offier Fixtures Water Treating System MSCELLANEOUS: r- Sewer RCP1We`mCUt 0 Back Flaw Prcventcr 0 Grease Interceptor(Trap)—gallons(Requires 3 sets of plass) 0 Lawn Spriuld=System-Number of Heads 0 WCE_ **SRWD Well Carnpie-don Fom.Completed foam to be submitted to the Building Department for final inspection." 0 Odler. Permit becomes void N wordy does not comma=within a six nxwa period or work is suspended or abandoned for six maxtim I hereby certify that I We read this amUcadon and know the same to be ave and correct. All provisions of kwa and ordbooms governing this work will be compered with vtAdw specified or not. The pennit does not give autha ft,to violate the provisitax of arrf other state or local law regulation cooswxdon oc the performaoct of construction. Property Ownm Name 62orr Phone Number Plumbing Company Q§M Way Plumbing,Inc. —Office Phone 00 Corporate Squan: euu,t Co. Address: city State Zip License Holder(Print): phyte F.gjlw State CertificatiomORegistradan# CFS-002-JVJ6 Notarized Signature of Licewe Holder Sworn and subscribed before me this III day of _A AAL 20/6 Sipatitne of Notary Public Or'N Notary Public State of Florida NMI R Major My Cornmission 00602560 Exorm 1217012010 L-d 8999 CZL 1706 E)Nlewnld k"E) GIAVG dLC:LO OL ZL &V