Permit Plumbing 5616 Antares Court 2012 C,
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 . . . . . . 5616 ANTARES CT
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
BIJILD,iNG CODES.
Mar 08 10 12:54p Information SystemsolTy o 904-247-5845 P.1
PLUNTMING PKIOUT APPLICATION
CITY OF ATLANTIC REACH
800 Sminole,Rd Aflanfic Bewh, FL 32233
Ph(904)247-5826 7Fax(910)4)24 -118145
JOB ADDRESS:
_1:"ERY11T#
NTW OR REPLAcEmENT iNsTAILATj[oN: Project Value s
TYPE OF-Fx%7VAE QTY Y'YrE OF Fr-TURE OTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
--Dishwasher Sbywerpan
Drih�gFount3in Sink
Floor Drain M5. Compartment Sink
Floor Sink Toilet
'Hose 13ibs urima
Kitchen Sink VacuumBreal=s
Laundry Tray Water Connected Appliances
.LaVRtDry Water Heater
Water Txe.-dng System
TYPE o.F-F-kcruRu QT7 TYPE oE FmvxE
tathtuib Septic Tank&Pit
Clothes Washer Shower
thshwasher Shower Pail
Drhiking Fomitain S Lop Sink
�loor B;�in Three Compartment Sink
Floor Sb3k Toilet 7--
Flose Bibs U10inal
X-Achett Sink
V
Lauiddry Tray N=t:m Appliances
Lavatory - 2. . Water Heater
Other Fjx±wvs Water Txeatm,-:,Sy stem
AMCELLANEOUS:
• Sewer Replacement o Back.Flow Prevent=- o Grease latercErptor(Trap) gallons(Requires 3 sets of p-jp-=)
• 'Lawn§pxi�r-�Ystem-Nbn�ber dEeads C3 wen
SJRWD WeIT C-ornplation Form. Coinpleted fb=to be submitted to the B�Elding Departnent for final inspection.**
o Other
-within a six month period or wait is saspendod or abandonod Ibr six--flas I hereby certify tba-t I have read
Faunit becomes void if work does not co--cn=
th,s appmd0a.and]mow the-me to be true and correcr- A-11 provisions of kws and ordinances governing this,%mrk--will be compUed with whether spc--iflzd
or noL The p=aiit does 7iot give authority to violate the
provisions of arry other state or local iww regulation constructkm or the performan=of construction.
P Lo '44e,19T I-0401Afer Phone N=ber 7-ff,ff66
-perty 0,*ners Name
Uav1d Gray 9,
Plimnbing Company 6491 Powers Avenue Office Phone
Co. Addiess". Jacksonville, Florida 32217
License E[o#der(Print): �lq n Y --- State Certification/Regist-wion 9 0 6'
J'V
otariza S�gnafare qfLi;C:znse Hvider
Sworn and m-lbscribeti T-, me thi dar of
f6 Of(t 2 0 4 7'
t Notar p igualure ofNotary Public
Ubilic
�tate Of Flo'
Y Neal R
v 'alof
0'r4nission EEC 32,510
'oil t;4)"eS 12'203/n4,