Permit Plbg Water heater 700 Bonita Rd 2012 (#°"'''*
`r= CITY OF ATLANTIC BEACH
I11
j 800 SEMINOLE ROAD
J , � -, .:41 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
.s ue`"
Application Number 12- 00000608 Date 5/18/12
Property Address 700 BONITA RD
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 fixture
Owner Contractor
TRIAD PROPERTY MGMT LLC DAVID GRAY PLUMBING INC.
1015 ATLANTIC BLVD STE 136 6491 POWERS AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217
(904) 724 -7211
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 62.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/14/12
Fee summary Charged Paid Credited Due
Permit Fee Total 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 62.00 62.00 .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
PLUMBING PERMIT APPLICATION
CTTY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 7" gowi-r. 4 PERMIT #
•
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub
Septic Tank & Pit
Clothes Washer Shower
Disirwasher 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 Trea5.fig System
RE-PIPE:
•
TYPE OF FIXTURE QTY TYPE OF FEXITTRE
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 Vacuurn Breakers
Laundry Tray Water Connected Appliances —
Lavatory Water Heater
We= Treztil7p. System
- -
MISCELLANEOUS:
0 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
0 Lawn Sprinkler otHeads 0 Well **
** S.IRWD Well Completion Form_ Completed foam to be submitted to the Building Departinent for final inspection. **
0 Other .
Permit becomes void if work does not commence a sk: month period or work is suspended or abandoned fr: caontbu. I - atomicy certify that I have read
this application and blow the same to be true and mac All provisions of laws and ordinances govccnim; b.;s vim::: will be complied with - whether specified
or noL The permit does not give authority to violate the provisions of any other state or local law .7:17L construction or the performance of construction.
Property Owners Name 41 `ri?, P Phone Number 231-
Plumbing Company OtYiti Gray Plumbing, Inc.
Office Phone 77j Fax 7 2.1-3 - 5 X?
Co. Address: POCal 4ite /
City_j n eie,Sopt vcct-g State A. Zip j2-2./ 4
License Holder (Print): Pio State Certificzoo/Registation i CI1 t:',
Notarized Signature of License Holder -
.1M •
orn aT, „i subscribed bdore me s 14 day of_ 20
d ett Notary Public State of Florida - • gnatirc of Notary Public
Neal R Major
0. , My Commission EE032510
v; " Expires 12/20/2014
•
•
May 18 12 09:44a DAVID GRAY PLUMBING 904 723 5668 p.1
Mar 08 10 12:54p Information SysterrisCI Y 0 9C4- 247 -5845 p.1 T
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Semiatole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 7ta gilAii-r4 t P
T#
•
•
NEW OR REPLACEMENT BISTALLAITQN: Project Value $
TYPE OF FIXTURE Qrr .TYPE OPFIxrt7XE
QTy
Bathtub W Septic Tank & Pit asher
Dishwasher
Shower
Drinking Fountain S lop Si Pan Floor Drain Slap Snk
Floor Sick Corapartrr�ent Sink
Hose Bibs Urinal
Kitchen Sink Vacuum Brealccts
Tray Water Connected Appliances
*Other ~noires Rater Heater "1"
Water Treating System
RE-PIPE;
3n OF FIXTME Qrr TYPE OF Fixrza
Bathtub '�' �`
Clothes Washer Septic Tank & Pit
Dishwasher Shower
Drinking Fey shower Pan
Floor Drain . . Slop Sink .
Floor Sink
Three Comp�ent Sink
Hose Bibs Toilet
Kitct�ea Sink Urinal
Varaut>n Break=
Laundry T Water Connected Appliances
Water Heater
C41.:27,7 yam-:.. Nat= TseatL
S_ sty
MISCELLANEOUS: ._ -- -__
o Sewer Replacement ❑ Back Flow Preventer o Grease Interceptor (Trap) .gallons
(Requires 3 sets of plans)
0 Lawn Sprnkler System. `!'umber of Heads o Well **
** SJRWD Well Completion Forma. Coxnpleted form to he submitted to the Building Department for final inspection. **
D Other. .. • .
Permit becomes void if work does notcamaxzice within a sit moarh period or ward suspended or ahandoaed fr_ _3i:::
this application and know tie same to be true and none.?. AL provision ofhws arid cram= r`,r- .:; mcn . p! cri with whether the 1 have read
or not. The a rnit does -not p Y a1 dina a r: F : s. a t•ac on be pel : l of coat surd n.
P give auto to violate tie provisions of an Other state or local lain z•.- � rrnse^aclion or the
Property Owners Name ��l 0 P ,�erforatanea � €c�nstnxctian.
David Gray Plumbing, Inc. Phone Number 3- 1--4-0-5. Plumbing Company _ - Office Phone 7i" Fax - 7:-ff- .5
Co. Address; Peg/ 3a itiz5 I W City -- 4614 gvtc State zip j )44 I... _.
License Holder (Print): JOWL' / 4#v' State Cerrii'ort on/Registratlon i:# C ..Ga S 4
Notarized Signature of License Holder -;
am a7:—...: subscribed more m p e ' C� 4 day of `''�//'`� ♦I'�f1 20 iV
wa Notary Publio Slate of Frotrda .,;._ Public _� f
:* i s Neal R Ma ;or gaa.:z7c. ofNotary Pub is i I at •
.` a My Commission EE032510 a
of t�o� Expires 12/2012D14 II
•
•
•