Permit Plumbing 1 Fleet Landing Bldg 600 2012 `f CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
." ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�F
Application Number . . . . . 12-00001759 ] Date 12/03/12
Property Address . . . . . . 1 FLEET LANLDING BLVD MAIN
Tenant nbr, name . . . . . . BLDG '600
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2375
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Application desc
Water Heater Replacement
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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 WATER HEATER REPLACEMENT B#600
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/01/13
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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.
Dec 03 12 09:29a DAVID GRAY PLUMBING 904 723 5668 p.1
Mar 08 10 2:54p Inforrnabon SystermCF*Y 0 PO4-247-5845 p.1
PLUMBING P EKYnT APPLICATION
CICS''OF ATLAN-nC BEA474
800 Seminole Rd Atlantic Beach, FL 32233
` ] r Ph(9G4)247-5326 Fax( ) 2f4}7-5845
Jan ADDREss: 1 �l GG c �� i r.t 1--�-4',� Y Cx. PIERMU�d
V OR.R'EPI.ACENIENT n-ST.A?LATION: Project Value s Z-37 f
TxP�OF FARE O Y 71M O FvCrlVRlr Or'
Bathtub Septic Tank&Pit
Clothes Washer Shower
0isiswasher -Simwer Nii
Drinking Fountain Slop.Sink
Floor Basin Three Compartment Sink
FIeor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Varzu-=Break—ars
Laundry Tray Water Connected App.;iaaces
Lav>�tlo-rr Water Heater
l?therFixTsfr�s Water Treating System
1�-PIPIES
"Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Dtialciag-Fountain _ Stop Sink
Floor Drain Three Compartment Sirs.
Floor Sink Toilex
Hose Bibs Uainal
Kitchen Sink Vacuum Breaker
Laundry Tray- Water Coanectad AppIiar_ces
Lavatory Water Heater
Other Fi=ures watm Treating$),stem
MISCELLANEOUS:
a Sewer Replacement ❑ Bark Flow Presenter ❑ Crrcase Interceptor CI"raa) gallons(Rcquires 3 se-m of pinin
❑ Lawn Sprinkler System Nui iber oat-Heads o Well **
" ETRi'Y' 2LT CamplEticr.Form. Co��letec form to be submittcd to the D-Acting Department for final inspection.**
?=it becomes void if work does not period or wars is suspended or abandoned_'or six months.i hereby certiiv that_I have,czd
ttrs application izdlmow Me sa=eto be true and corm a All provis=s of laws and ard:s mces goverrtmg rbis mar:will be complied with wheth.r specaaa
or nw- The p=it does not give agthority to(violate"]te provisions of any athc.state or local!xN recs
gularicn c tn,eLLrau�rx cn or the pct bof ccastnzc�ea,
Property Ovrners Name ��Gl XLG _ Phone Naber l
Plianbin.g Ccrapanp 0,8+ia7 3f''=' P i u,m b i n IDc. dace Phone =� IA - Fax -�'s��
Co. Address: City State Zip
License Holder(Print): JC) 6219-y State Certification/Registration P
Notarized Sign atare of License Holder
S-worn and subscribed before rml this a u 20,Lj�
Aig
lic Sta1a ofFroridae of Notary Pu Oliojorsion EE03251D
14
Mar 08 10 12:54p Information SystemsCl7Y 0 904-247-5845 p.1
PLU MING PERMIT APPLICATION
CITE' OF ATLANTIC REACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-58826 Fax f�)247-5843'
JOB ADDRESS: I--i-�r� l✓L
PERmrr
NT,W OR REPLACEMENT INSTALLATION: Project Value $
1'7PE OEFIV=G ZE QTY TYPE OF FJ XTG'RE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
;Dish her Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Nose Bibs Urinal
Kitchen Sink Vacuum Breakets
Laundry Tray Water Connected Appliances
Lavatory Water Heater
-other Fixtures Water Treating System
TYPE off'.F'mv-A QTY TYPE or FLaviJ?E QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Colmpartrnent Sink
Floor Sink Toilcl
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Beater
Other Futures Fates Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) _gallons(Requires 3 sets of plain)
❑ l;a Nm SpT n7:der System Number of Heads ❑ Well **
SJRW well completion Form. Completed faTM to be submitted to the Bu' Department for fi nsl inspection.*¢
e0ther
Permit becomes void if work does not commence within a sax month period or work is suspended or ab doned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of lases and ordinances governitig this work will be complied with whether specify.,-3
or not The permit does not give al&ority to violate the provisions of any other state or local lavv regulation construction or the perforrmance of construction.}
Property Owners Name �C� Phone Number ATU-5
Devic! ;Grey Plimbsng, Inc. c e ?
8850 Plumbing Company f ®;fi., Phone ='�' Fax–7 ��.��
( opor r 5` -mlarc otic
Co. Address: , _ City State Zip
License Holder(Print): i9 d � c���Y ~` State Certti_ffrcationrRegistration 9 eref 022 94
Notarized Signature of License Holder i
Sworn: and subscribed before the this al,of AV—AV-20V
711—
=o`�`Y'`•�� Notary Public State of Florida lure of Notary Public
Neal R Major
v �a` My Commission EE032510
oa�o Expires 12/20/2014
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