127 Fleet Landing Blvd plumb 2013 s�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00002816 Date 6/07/13
Property Address . . . . . . 127 FLEET LANDING BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 fixture
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Owner Contractor
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NAVAL CONTINUING CARE DAVID GRAY PLUMBING INC.
RETIREMENT FOUNDATION, INC 6491 POWERS AVENUE
1 FLEET LANDING BLVD JACKSONVILLE FL 32217
ATLANTIC BEACH FL 322334599 (904) 724-7211
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Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee . . . . 62 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/04/13
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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.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 p
� �rnCC .� Y � i til Pyr#
JOB ADDRESS: / /e4�L�f ,� p
NEW OR_REPLACEMENT INSTALLATION: Project Value $
TYPE of FIXTURE QTY TYPE OF FmvRE QTY.
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 l
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FEUVRE QTY TYPE OF FEYT URE QTY
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 Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
*--ISJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.*
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local-law regulation construction or the performance of construction.
Property Owners Name �f4_rf /,y Phone Number 1i'` '�
Plumbing Company DAVID GAY PLUMBING, INC. Office Phone 724-7211 Fax
Co. Address: 6491 Powers Avenue city Jacksonville,_FL 32217
License Holder(Print): David F Gray State Certification/Registration# CFC 022MO
N i e ature of License Holder
rof.y"�y Notary Public State of FloridaSworn and subscribed before me this y o N� 20f 3
Neal R Major
- 1 My Commission EE032510 Q
Expires 12/20/2014 Signature of Notary Public