1 fleet Landing o Bldg plumb 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
u. ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
0ji
Application Number . . . . . 12- )0001074 Date 8/16/12
Property Address . . . . . . 1 FLEET LANDING BLVD MAIN
Tenant nbr, name . . . . . . BLDG O
Application type description PLU14BING ONLY
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . 0
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Application desc
water heater
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Owner Contractor
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NAVAL CONTINUING CARE DAVID GRAY PLUMBING INC.
FLEET LANDING 6491 POWERS AVENUE
1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32217
ATLANTIC BEACH FL 32233 (904) 724-7211
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/12/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG 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 SystemsCfTy O 804-247-5645
p.i
U-�lMING PER?&T FLIC TION
C.rry OF ATIANT C BEACH
800 Seminole Rd Atlantic B4 ack FL 32233
Ph(904)247-5$26 Fax(4 )247_ 45
JOB ADDRESS: �i�Eff ��t � Q-0 L� /2
PERM'
NEW OR REPLACEMENTINSTAI,ATIION: Project Value
-_ ._ �
.p+_ ,
A A yTYPE Q.Flfir.znm-B QTY , o Fy,-am,uRE ®TY
Bathtub Ser tic Tank�Ph
Clothes Washer Sh er
'Dishwasher Pan
DriuEmgFountatn S
iaSink
Floor Digin a Compartment Sink
Floor Sic
most~13abs
Kitchen Sink al
Brims s
LLaavat�r Tray r Connected Appliances
'Other Fixtures We- r Heater
Wal r Treatuig System
RF,PIPE:
TYPE o.F F��E QTg Or FbavizE QTY
Bathtub Sep c Tank&Pit
Clothes Washer
Shower
Dishwasher Sho er Pan
Drinking Foantain '� 4Wat
ick
Floor Drain Compartment Sink
Floor Sink
Hose Bibs
Kitchen Sink LaundryTray Connected Appliances
Lavatory Wat r Heater
Other Futures W Treating System
NJISCEII A.NEOUS:
❑Sewer Replacement ❑Back Flow Prez%enter ❑ Grease Infer ptor(Trap) gallons(Requires 3 sets of per)
❑ Lawn-Ssystem Number ofHeads ❑
**SJRWD �Y Campletior: . Completed form to be submitte to the Building Deparlroent r mal inspection.
❑Other-.
Pruitt becomes void if wori`doesnot aammeace within a si_-month period or work is sas iended or abandoned for six mrnilhe I hereby cr-rtifv that_I have rrd
this application and lmow the same to be true acrd correct. Al provisions of laws and ardh ances govcming this work will be complied with whether speaificd
or not The permit does mat give authority to violate the proovindolas of any other state-or to lase regulation construction or the pcxfbrr m=of construction.
Property Owners Name '4 r"'` /� VI H4 Phone NLnbes
uavIG Uray Plumbing, Heating &Air
Plumbing Company 6491 Powers Avenue Office Phone � ���-� Fax-7 Arg
Co. Address:
Jacksonville, Florida 32217
License Ro)lder(Print): `PAVi !q ),-" zV12'gY -- tale Certiacation/Registratio # G'�F/j a?-2 99
I otariyed Sign afire ofLicense molder
=o.�`'�q,^ Nosry
PublicState of Florida am and subsczzbed before me this l�' Y of 20 !Y
Neal RrgMy Con EE032510 S e ofNotary Public
�iEoi�nQ~ Expires201/