Permit Plumbing 1 Fleet Landing Blvd Main 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001464 Date 10/08/12
Property Address . . . . . . 1 FLEET LANDING BLVD MAIN
Tenant nbr, name . . . . . . 0 0 BUILDING
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE
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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 . . REPIPE 9 FIXTURES
Permit Fee . . . . 118 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/06/13
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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 118 . 00 118 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 122 . 00 122 . 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 Infbi-mation SystemsCrTY 0 904-247-5645 P-1
PLUM- MING PEAAUT APPLICATION
CITY OF ATLANTic BFAcia
800 Seminole Rd Atlantic BeacJ3, FL 32233
Ph(904)247-5�26 Fax(904)24 -5845
JOB ADDRESS: kx ERYI IT 4,
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NTW OR REPLAcrEalmNT iNsTALLATI[ON: Project value
i
717E CEFZU-URE ory
QTY TIPE oFF1=RE
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher T-an
Driuldng Fountain Slop-Sink
FloorDrain Three Compartment Sink
Floor Sink Tcdlet
Hose-Bibs urinal
Kitchen Sink VacuumBreal=s
Laundry Tray Water Connected Appliances
Lavatory water Heater
Water Txea:fing System
IT--PTOPE;
2,YPE OF I'DaURE QTY TYPE OF FL a Vx E
13athtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher ShowerPan
DrinkMCountain Slop Sink
Floor Three Compartment Sink
Floor Sink Toilet
Flose Bibs Urinal
F-Rchen Sink Vacuum Dreake=s
Laundry Tra3, Watii Com��ed Appliances
Lavatory - Water Heater
Other Fixtares Water Treating-System
!�MCRUANEOUS:
c3sewerReplacernewt c3BarkFlo-wPr--ven1=- 0 Grea�se L2terceptor(TnkD)_,gaUons(Requires 3 sets of plam)
0 lawn Sp��r Sysotzn-Nnniber ofHeads 0 Well.
*-&MWD WeU Comp7adon Form. Completed fonn to be submitted to the Building Department for Fnal inspection.**
o Other. ..
?--anit beco=4,;'7oid if wort does not caouncrice'-within a six month period or wcmk is saspended or abandcmed for six rncmthq I hereby cer-dfV that-I have read
this application:,and)mow the--e to be true end correm All provisions oflaws and orrffimces gov i g this-woz-11--will be complied with whethcr specifird
or not. Tbc pmudt does-not give authority to violatc:the pmvisions of any other state or local);E-,w xegulation cons=ctlon or the peribrmanct,ofconstruction,
Pro-perty Ovvners Name Phone Number W-,ffdb
U&v1d Cray PFU-m-ffn-g, -7* '
Plumbing Oompany 6491 Powers Avenue Office Phone Fa^--7--7;-;24d',f
Jacksonville, Florida 32217
Co. AAdrers:
License Hcdder(Print): Stq1e Certfication/Registration 9 Isle
I'V
otartzed Signaftire of Lie-ense Holder
S-worn and subscrRxed rrt,-thi da-,r of 6 Of(X 2 0 .4
A .4
ignatine ofNatary Public
Y utj"c State ot Florida
Iff Neai R ro�ior
1,1" 4 My CQ'r-rniss�on EF032510
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