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435 Atlantic Blvd 2012 repipe CITY OF ATLANTIC BEACH Iz i 800 SEMINOLE ROAD J r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �r it Application Number . . . . . 12-00001680 Date 11/13/12 Property Address . . . . . . 435 ATLANTIC BLVD Tenant nbr, name . . . . . . MCDONALDS Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ------------------------------------------- Application desc 4 LAVS 5 SINKS ----------------------------------------- Owner Contractor ------------------------ _ _ FRANCHISE REALTY INTERSTATE DAVID GRAY PLUMBING INC. CORP 272-09 C/O SHAWN KUTHAN 6491 POWERS AVENUE PO BOX 49189 JACKSONVILLE FL 32217 JAX BEACH FL 32240 (904) 724-7211 ---------------------------------------- Permit PLUMBING PERMIT Additional desc REPIPE 4 LAVS 5 SINKS 00 Permit Fee . . . . 118 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/12/13 --------------------- ----------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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 Information Systems0lTY 0 904247-5845 p.1 PL NT MING PERMIT APPLICATION CITE' OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 1Ph/(904) 247-5526 Fax(90/4) 2447-5845 JoB ADDRESS: ��-S ✓/f 7 T/�N�C /���1' l /`"�G �/G7eA PP.1b1Q I 9 I�U,'W OR REPLACEMEN 'INS` ALLATION: Project Value $--,,z�t"� TYPE oF Fi=aE OTY Typ or-Frv,-URE ory Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan g ,n SlopSink Floor Drain oThre Compartment Sink Floor Sin: Toilet1 Hose Bibs Kitchen Sime Vacuum Breakers Laundry Tray Nater Connected Applianccs Lavatog Water Heater 5-OthTreating er`Fixtures Water System (! )ryFE OF FEUT)-.R'E QTY 7,yr—F 0-F FLUV,;?-E Q7-f Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Dnnlcina Fountai-- Slou SLLk Floor Drain --- Three Compartment Sires Floor Sink Toilet Hose Bibs U.1na1 Kitchen Sires V2 Uu-rt Breaker Laundry Trati. Water Connected Applzar_ces Water Heater LG'thVaerFktures �"4'�1'"�� �— Wa'.T Treating System T'USCELLANEOUS: ❑ Sewer P.eplaeemeut ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) _gallons(Requires 3,qets of pt may) ❑ Lawes SpiZnkler-System-Number cf Heads ❑ Well � SJRF�D Well Campletiz7;,bor, t. Completed form to be submitted to the Budldi� Depa-�ent fir 1 inspection. ❑ Other __.. ^--ermit becomes void if ward does net ccmmence-within a six month period or work is sipended or abandoned for six mcnths.1 hereby ce-ify that?have rid this application and know the same to beTrue and correct. Al provisions of laws and erdimanccs gov=n;mg this worn vri3l bee complied with whe3lr_r speci{ied or not The pc-,unt does not give authority,to violate the provisions of arty other statt-or local la^x regulation con.�riction or;he perforsamt o:constn cson. Property Owners Name !J/ct civ, �S '1�i 4 . PhonQ I�Txber 527t-7247 Plumbing CompanyT)av{{G' �,rav cp3i°mbing, I�t;.4 O:Mlce Phene I 7,; 5:< Fax-7 67 3,�t 4'r..i v_1 t., G' S47uarc- CoL- f Co• �+c?dress: _ _ City State Zip License�3or3e�($'r" #); J`v .' � h'� State Certica�ionfRegistratYor 9 C /r NDta�r:'zed S4-nature of License Holder !' orri and subscribed before me this i dam f 20_[_v Notary Public State of Florida y Neal R Major M =, e y Commission EE032510 e of Notary Public � Expires 12/20/2014