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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 ------------------------------------------------ ---------------------------- Application desc Water Heater Replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ----I------------------- 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 ----------------------------------------------- ---------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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 WOE