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