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Permit Plbg Repipe 2010 AIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Ir lir 11ir Application Number . . . . . 10-00001036 Date 8/23/10 Property Address . . . . . . 1870 N SHERRY DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 13 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MAYHEW, BILL DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 146 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/19/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 146 . 00 146 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 146 . 00 146 . 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 0 904-247-5845 P.1 PLUMMING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Scminole Rd Atlantic Beach, FL 32233 47-5826 Fax 04) 4 -5845 JOB ADDRiEss: PERmrr NEW OR RIEPLACEMMNT INSTALLATION: Project Value $ TYPE oF FvrruRE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower -Dishwasher ShcTver Pan Drinking Fountain Slop Sink Floor Drain Three Compartinent Sink Floor Sink Toilet Hose Bibs Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater -0ther'Fixtures Water Treating System TYPE OF FDaVRE (?rY TYPE o.F FnavRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower , Dishwasher t Shower Pan Drinking Fountain S Lop Sink Floor 1)iain Three Compartment Sink Floor Sink Toilet Rose Bibs Urinal. Kitchen Sink Vacupin Breakers Laundiy Tray Water Connected AppIiances Lavatory Water Heater Other Fixtures Water Treating System NHSCELLANEOUS: F-i Sewer Replacement o Bazk Flow Preventer 0 Grease Interceptor CTrap) gallons(Requires 3 sets of Plans) El Lavorn Spfinlder System-Nuiriber of Heads ED Well ** SJF-WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ii 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 certiti that I have read this application and know the same to be true and correct. All provisions of laws and wdinances;gDveming thiswork will be compHed with whether specified or not- The perrnit does-not give autborhy to violate the pro-visions of any other state or local law regulation con=ction or the performance of construction. Property Owners Name 9/a Rwygccu Phone Number-14?� —9 6 7-1 Plumbing Company —5—bVid Gray PUM—bing-, Inc. Office Phone Fax 1389b torpt3rate Squale CUM t Co. Address: JacksowAfte. Flodda 32216 city State—Zip License Holder(Print): PRIO /� State Certification/Registration# CJY 01U-S"f Notarized Signature of License Holder &4 1 0 Sworn and subscribed before rl.tms �3 ,--day of 20ye Signature of Notary Public ................ Nbla.y �illublic tateo a Neal R major P 4 my commission DD602560 01010 110V Expires 12/20/201=0