Permit Plumbing 1159 W Linkside Ct 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
AIT
Application Number . . . . . 13-00002042 Date 1/24/13
Property Address . . . . . . 1159 W LINKSIDE CT
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4100
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Application desc
REPIPE 10 FIXTURES
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Owner Contractor
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LATTNER, JOHN W TRUST DAVID GRAY PLUMBING INC.
1159 LINKSIDE CT.W. 6491 POWERS AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217
(904) 724-7211
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . RE-PIPE 10 FIXTURES
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/23/13
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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 12S . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 00 . 00 . 00
PERNJIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILPING CODES.
Mar 08 10 12:54p Information SysternsCITY 0 904-247-5845 P.1
PLUMBING PERMIT APPLICATION
C][TY OF ATLANTic BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5�26 Fm—r (904)247-5845
Joa ADMESS L Pimmrr 9
NIEW ORREPLAC72AENT INSTA-LLATION: Project Value s
TYPE oiv Fv=P.E OTY TYPH oF Fov.TuRE OTY
B athtub Septic Tank&Pit
Clothes Washer Shewer
�Disfiwzsher -Shower Pan
Driuking Fountain Slop Sink
Floor Dmin Three Compantinent Simk
Floor Sink, Toilet
14-ose'Bibs Urinal
Kitchen Sink Vacuum Breakrrs
Laundry Tray Water Connected AppIianc:z�s
Lavati�r
_y Water Heater
-0ther'Fix_=es; Water Tieafmg System
TE oF Fbaz-2z QTY T�YPE o-F FL=zz_� QT-1
Bathtub Septic Tank&Pit
Clothes Washer Shower
Shower Pan
Dishwasher
Drinking Fountain SLqp Sink
Floor Diain Thrf--- Compartment Sink
Floor Sink Toilqn
Hose Bibs UTinal
Kitchen Sink Vacuum Break=
Laiuidry'Tray Watei Connected Appliances
Lavatory Water E-Teater
Other Fixtures 'Water Treating,System
NUSCELLANEOUS:
C1 SeWeT Replacernerti. 13 Back Flow Preventer c Grease,Loterceptor(Trap) gallons(RequiT_—3 Sets of p1=3)
11 lawn SpAil:llder System-1,7=ber ofHeads El Well
SJRWD Well Gompletior.Form. Completed fo=to be submitted to t1he Building Departmeat for fin-al ins-pec-tion.
o Other. ..
Fzrmit becomes void if woric does act commencz wilhin a six month period or wort is sivipencled or abazidoned for six months.I hereby certi�thalt I have read
this applicarim and know Lhe same to be true and co==. A-11 provisions of laws and ordinances gov=nin-this vm,-.r will be complied with whether specifi-zd
or not Tbc prmait does-not giv
'"Ority to viciew the pro-visims of any other=tc or local IwA?Tcgaiati4l=ns=c:Eon or the perf f construciian.
PrcperfYbwnersNa:na",c,lr4v Phone N=ber�70K6 I
I Davici G-!rzy Plumbing, Inc. _7* _�5' Fax-7ZF-_QWS
Flumbing Company OfEc-Phone
8850 Spuarc- Court
Co. Ad&ess: �7 city State_Zip
License Holder(Frftat): FA-/)D State Certification/RegisTrat"on 0-,,_'2�
Nctarized,34-nata.re of Licznse Ho4der Al
rn and subscribe4d before Me this da7y of 20 t;l
"c S ate of Florida
-04, 00k Notary Public state of Florida
a Si
Neal R Major
My Com 's.".ntEE032510 Si e of Notary Public AJ/7
F �J my CommissionEE032510
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Expires 12/20/2014
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