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Permit Plbg Repipe 2010 <SS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD SO ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001121 Date 9/13/10 Property Address . . . . . . 80 S SARATOGA CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 12 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAXTON, GERALD D. DAVID GRAY PLUMBING INC. 80 SARATOGA 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/12/11 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Sep 10 10 09:41a DAVID GRAY PLUMBING 904 723 5668 p•1 _.- r v�uo nw v yU4-L4/-5i34b p.1 PLum BING PEWvHT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd AtIantic Beach,FL 32233 Ph(904)247-5826 Fax(9D4)247-5845 JOB ADDRESS: WZ) PERbur# NEW OR REPLACEMENT INSTALLATION: Project Value S TYPE OFFiT aviW QTY TYPE OFp2xmRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Bho wer Pan Drk*jng Fountain Slop Sink Floor Drain Three Compartment Sink Floor Side Toilet Hose-Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater 'Other Fixtu es Water Treating System RE-PIPE: ` TYPE OF FDKT ow QTY TYPE OF FL7 MNE QTY Bathtub Septic Tank dt Pit Clothes Washer Shower Dishwasher �� Shower Pan l Drinking Foantain S lop Sink Floor Drain Three Compartment S'uik Floor Sink Toilet Hose Bibs r Urinal Kitchen Sink r Vacuum Breakers Laundry Tray Water Connected App:iaaces Lavatory 2- Water Heater ��- Other Fixtures Water Treating System NIISCELLA.NEOUS: ❑Sewer Replacement o Bamic FIow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System Number of Heads ❑ Well **&IJZWD WeU Completion Form. Completed foam to be submitted to t9c Buildmg Department for final inspection.** D Other Patent becomes void if work does not aoaurmc c whin a six month period or work is suspended or abandoned for sic-oaths.I hereby certify that I bave read this applicadon and know the satneto be true and oormct. All provisions of laws and ord-antes govemiug this work will be complied with whether spocified or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the petformsoce afconstructioa. Property Owners Name nt- Q. Gr-,_ Phone Number )q10-78m Plumbing Company -- �t3r, ratip Square Court Office?bone VWf- � Fax '9x3-✓3x01 Co. Address: Jacksonville. R)rida 32216 City State Zip License Holder(Print): 0&1 Y State Certification/Registration 0 dIZ0 D%Z4M Notarized ftviahtre of License 9'older Sworn and subscribed before roe thisda of 20� Signature of Notary Public -.r,Y Notgry qublic Stas of Florida t tI $Y� Ne R : r my mission DD602560 �''aorw E fires 12!2012010 Mar 08 10 12:54p Information SystemsCITY 0 904-247-5845 p.1 PLUMBING PERMIT APPLICATION CTTY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: WD r • PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OFFIXTURE QTY TYPE OF FIXTURE 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 RE-PIPE: TYPE OF FbavpE QTY TYPE OF FDGVRE QTY Bathtub Septic Tank&Pit Clothes Washer T Shower Dishwasher _L� Shower Pan Drinking StopSink DFountain rain ThrCompartment Sink Floor Sink Toilet 2 Hose Bibs Urinal Kitchen Sink i Vacuum Breakers LaundryTra • Water Connected Appliances Lavatory y 2 Water Heater �— Other Fixtures Water Treating System NHSCELLANEOUS: ❑ Sewer Replacement ❑Back Flow Presenter ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System- umber cf Heads ❑ Well ** **STRWD Well Completion Form. Completed form to be submitted 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 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 to violate ecthe __provisions of any other state or local law regulation constriction or the performance of construction. Property Owners Name�r,t= x� a Phone Number o�glo-79CO Plumbing Company--oQ�6Qrr�€�;,UQ 5quare,cri-rrt OfficePhone ��'�`'f��"� Fax '1 �6�3� f Co. Address: Jacksonville. Florida 32216 City State Zip ZLicense Holder(Print): d' E Notarized Signature of License Holder Sworn and subscribed before me this D da)of 20 16 Signature of Notary Public `4 Aoyr P� NoURior yic State of Florida 1h Na ission DD602560 Nor w,/ Expires 1212012010 _