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Permit 1115 Fleet Landing Blvd Plumb 2011 TIC BEACH CITY OF ATLAN 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ilk Application Number . . . . . 10-00001502 Date 1/03/11 Property Address . . . . . . 1115 FLEET LANDING BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 ---------------------------------------------------------------------------- Application desc REMODEL BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLEET LANDING NORTH RIVER BUILDERS AND PROPE 1 FLEET LANDING BLVD PROPERTY MANAGERS ATLANTIC BEACH FL 32233 6771 SHINDLER DR JACKSONVILLE FL 32222 (904) 838-9179 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . DAVID GRAY PLUMBING INC. Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/02/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 87 . 00 87 . 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'l PLUM13ING PERMIT APPLICATION Crry OF ATLANTrc BEACH 800 Seminole Rd Atlantic Be" FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: —PYRMIT NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE oF FzrTuiw QTY TYPE OF F)XTUAE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinldng Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavati�ry Water Heater -Otber'Fixtures Water Treating System RE-PF-PE: TYPE oF FDcj7v-AE (?ry TYPE oF FLuvRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Foantain Slop Sink Floor IDiain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breal=s Lnunidry Tray Wa Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ci Sewer Replacement 0 Bark Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plam) -La-,-,m spfinider S�ystem--Number of Heads EJ Well SJRWD Well Completion Form. Completed form to be submitted to the BuildIng Department for final inspection.** 0 Other Permit becomes void if woric does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify thal I have read this application and know the same to be true and cormct. All provisions of lzws and ordinances governing thiswork will be complied with whether specified or not. The pennit does-not give authority to violatc the pro-visions of any othcr state or local law Tcgulation construction or the perfonnance ofconstruction. Property Owners Name y��err WIV17,,ly I- ,r Phone Number , t46_ �96b Plumbing Company DAvid Gray Plumbing, Inc. Office Phone Fax 889b Corporate squals coul t Co. kddress: Jark-somdo, Hodda 32216 city State_Zip License Holder(Print): State Certification/Registration CJV Notarted Signaftire of License Holder Sworn and subscribed re th;S d of—k—o�"M4�v 201( Signature of d%�dh A p Notary P-blic St,Ll of Florida Y * Neal.R ajor E E032510 C V Expires 1212012014