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Permit Plumbing 2002 Colina Ct 2012 � r 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001828 Date 12/17/12 Property Address . . . . . . 2002 COLINA CT Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------- Application desc replace water heater ------------------------------------------- Owner Contractor - ------------------------ ----------------------- Meyer, Mark DAVID GRAY PLUMBING INC. 2002 Colina Court 6491 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 724-7211 ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . REPLACE WATER HEATER Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/15/13 ---------------------------- 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 17 12 10:37a DAVID GRAY PLUMBING 904 723 5668 P.1 PLUMBING PERK- HT APPLICATION O� CITY •F ATLANTIC BEACH goo Seminole Rd Atlantic Beach, FL 32233 Ph(944) 247-5825 Fax (904)247-5845 JoB ADDRESS' NEW OR REPLACEMENT INSTALLATION: Project Value � TYPE of FIXmm OTY TYPE of F=URE Bathtub Septic Tank&Pit Shower Clothes Washer Dishwasher Shower Pan Drinking Fountain Slap Sink Three Compartment Sink Floor Drain ToiletToilet Floor Sink Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater 01 Other Fixtures Water Treating System RE-PIPE: TYPE DFFXvTUAE QTY TYPE of Fm uRE QT Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs 'Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water-Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back F1ow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ well ** - ** ,&rNTe17 Com�leti Form. Completed form to be submitted to the-Building Department for final inspection.** RwDo other �L o-C e 01-i4,rC-'ix 1G AlAw Permit becomes void if work does not commence widen a six month period or dc is suspended or aban wocertify doned for six months.I hereby Haat I have read this application and know the same to be aue and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not MwNmn Pa give a ority in vioiate the provisions of any other state or[ cal taw regulation construction or the performance of coaRtructian. Props e Phone Number X/a-2�C t 101=bing Company DAVID GRAY PWMBING, INC. O$ce Phone 724-7211 Fax Co.Address: 6491 Powers1.Avenue City Jacksonville._FL 32217 License Holder (Print): David F. Gray State CertificationfRegistration-4 M 022586 rJ re o License Holier ryPUbticStareofFlorida S orn and subscribed before me this i day of20 3'l R Major es 12 20 201;032510 �tme ofNotaryPublic WA- PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: ?iZ"�y' (j4��id A PERMIT# NEW OR_REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QT�'. Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE oFFIXTURE QT'S' Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan g SlopSink Fountain Floor Drain Thre Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System NVUSCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** STRWD Well Completi Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other fr�p q c t X4,ee Permit becomes void if work does not commence within a six month period or work is suPended o abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. ��s a rQin ve#g this work will be complied with whether specified or not. The permit does not give authority to violate the prstate or a regulation construction or the performance of construction. Property Owners Name Phone Number 776'z1-0 t Plumbing Company DAVID GRAY PLUMBING, INC. Office Phone 724-7211 Fax 6491 Powers Avenue Jacksonville,_ l- 32217 Co. Address: .- City License Holder (Print): David F Gray State Ce cation/Registration# 022586 Notar' iature o License Holder _,•�*� ^ Notary Public State of Florida S orn and subscribed before me this i. day of _20/$' Neal R Major P/A .. r9 My Commission EE032510 afore of NO PublicL/F un of i". Expires 12/20/2014 '`�`