Permit Plbg Water heater 1689 Linkside Ct N 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001214 Date 10/05/10
Property Address . . . . . . 1689 N LINKSIDE CT
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPLACE WATER HEATER
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Owner Contractor
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JARANOWSKI, JOHN R. DAVID GRAY PLUMBING INC.
8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 744-7255
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . REPLACE WATER HEATER
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/03/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 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
PLLJMBING PERMIT APPLICATION
CITY OF ATLANTIC ]BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: PrRmyr A
NEW OR REPLACEMENT INSTALLATION: Project Value$
YPE OF FDCTURE QTY TYPE oFFDcruRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Di-Arwasher ShowerPan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
HoseBibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Layati�q Water Heater
Otber'Fixtures; Water Treating System
RE-PIPE;
TyFEoF,FDavRE (?ry TYPE o.F FbavwE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Stop Sink
Floor Umin Three Compartment Sink
Floor Sink Toilet
Rose Bibs Urinal.
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
NUSCELLANEOUS:
o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor CTrap) gallons(Requires 3 sets of plans)
3 -La
wn Spfin1der System-Number of Heads 0 Well
SJRWD Wel[Completion Form. Completed form to be submittedto uildm' g Department for rwal inspection."
P�'Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hercbyr certifv that I have read
this application and know the samato be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or noL The permit does not give aijthority to violate the provisions of any other state or local law reguMon construction or the perfonnance of construction.
Property Owners Narnelcli 061 iihmklott-�!�!Vl Phone Number 24V'a- 2- 1 -
Pluinbing Company David Grav PItimbing, Inc. Office Phone Fax 7 V-
885D(,',w-poriileSquare Court r
Co. Address: i 10�;45 city State—Zip
License Holder(Print): 6' State Certification/Registration# eU 01-2,0'6
L
Notarized Sigzllature of License HaWr
Sworn and subscribed before me this -5 r Y-k d f ap- 2010
Signature of Notary Public
-(PC4 Notary Public State J Tn
4�� t Neal R Major
�0-1
Wd) My Commission DD602 60