Permit Plbg 690 Aquatic 2011 's . s o
� ,, CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
0 . 4 r „. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
s .
Application Number 11- 00002600 Date 9/12/11
Property Address 690 AQUATIC DR
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 fixture
Owner Contractor
METZGER /MCWHIRTER DAVID GRAY PLUMBING INC.
690 AQUATIC DRIVE 8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 744 -7255
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/10/12
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
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 SystemsClTY 0 904 - 247 -5845
p,1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247 -5845
JOB ADDRESS: ft f in- AV/ PERMIT #
NEW ORCEPLACEMEN INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OFFDCTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower an
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 Fixrup.E QTY TYPE OF Fzxru E QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain u Slop Sink
Floor Drain
Floor Sink Three Compartment Sink
Hose Bibs
Toilet
Kitchen Sink Urinal
Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Presenter ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System Number ofHeads ❑ Well **
** S.JRWD 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 rmd
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 spe•.ified
or not The permit does not give authority to violate the provisions of y a er state or local law regulation construction or the performance of construction.
Property Owners Name ( 4 k .h Y/V/If /y l� �'�
/ to Phone Number Ili 2 -d ci 3
Plumbing Company _ David Gray P,umbin 0 .
5£I Corporate Squdrti Cuw i Office Phone '� �� Fax .s
Co. Address: ______ Ja'Cis0 m1 .' Fi'[' �� ri 3_ 216 City State Zip
License Holder (Print): /rL? -;,� ,'
State Certification/Registration # Cif 0 G 2 -y 1
Notarized Signature oiFLicense Holder 190414 )14,,. / Pi
S-nrorn ace subsct :sera efoe rue this - .f a of e ( _ 20` /
Signature ofNot ry Public
�fil ` C /L�.
411 r.\ Nota plj St Florida
Neal R Major •
MY C ommisry Pu ate EE0325or 10
- n Expires 12/20/2014
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