Permit Plbg 5109 Polaris Ct (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
)=71
Application 14umber 05-00030854 Date 7/28/05
Property Address . . . . . . 5109 POLARIS CT
Tenant nbr, name . . . . . . 10 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FLEET LANDING DAVID GRAY PLUMBING INC.
8850 CORPORATE SQUARE CT.
JACKSONVILLE FL 32216
(904) 744-7255
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
UTDOWC-UFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Property Address: 6-1-6,? CT Date:
Owner:— J?�� A94�bgyd -- Telephone#: 06
Contractor.- Oavid Gray Plumbing, Inc- Telephon-e#:
Ow c0fl)OFM 94tiare Gewt , 74(f C-7%-4 r
Contractor Address: jprc-�sonville,Florida 32216 Fax#:
Contractor Signature: CFC 022386
426
in consideration of permit given for doing the work as describcfA the above statement,we hereby adi6lto perform said—work in
accordance wtth the attached Plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other constrwtion is being done on this building or site,
13 New list the building permit number:
V Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains t Washing Machine
Lavatory Water
Sewer I Water Heaters
Sprin1der System Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: I' X$7.00 + $35.00 ZJ S"
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845* http:itwww.cl.atiantic-boach.ft.us
Revised 1/04
1�All 1
N. CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
rim
Date:
Property Address:--.. S1�6 C-r
Owner: A6� 14A6MM Telephone#:,
Contractor: David Gray Plumbing,Inc- Telephone#:
WRI corpufate F544aare GetiFt -7
Contractor Address: i
- oc sonville,Florida 32216 Fix 44, 6 r
Contractor Signature: ge'V'4.44� CFC 022386
- -0, 41 426
in considention of permit given for doing the work as describep the above smtcmcn%we hereby QWC-cFto perform said work in
accordance with the aftached plans and specificafions which am a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
InsWlation of plumbing and fttures must be in accordance with the most recent edition of the Southern Staindard Plumbing
codc.
Plumbing Type: If other constwtion is being done on this building or site,
0 New fist the building pemait number
Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers t Sinks
Disposals Urinals
Floor Drains I Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinider Sysum Other
Fees
Permit lsstimg Fee: $35.00
Total Fixtures: X$7.00 + $35.00
800 Seminole Road-Atlantic Beach,Florida 32233-M45
Phone: (904)247-a800- Fax: (904)247-SM- http:/IWWW.ciabantle-beach.fl.Ug
Revised 1/04
999962L 90WId Audq aIAua e2C :60 go a2 Inr
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . .
Property Address . . 05-00030854 Date 7/28/05
Tenant nbr, name . . . . . . 5109 POLARIS CT
10 FIXTURES
Application description PLUMBING ONLY
Property Zoning
Application Valuation TO BE UPDATED
0
Owner
------------------------ Contractor
FLEET LANDING ------------------------
DAVID GRAY PLUMBING INC.
8850 CORPORATE SQUARE CT.
JACKSONVILLE FL 32216
------------------------------------ (904) 744-7255
Permit . . . . . . PLUMBING PERMIT-----------------------------------
Additional desc . .
Permit Fee 105 . 00 Plan Check Fee
Issue Date Valuation . 00
Fee-Summary------ Charged Paid Credited 0
--- ------- ---------- -------- Due
Permit Fee Total 105 . 00 105 . 00 ---------- ----------
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.