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1515 Selva Marina Dr 2013 repipe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Application Number . . . . . 13-00003196 Date 8/05/13 Propert-y Address . . . . . . 1515 SELVA MARINA DR Application type description PLUMBING ONLY Propert Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------ ---------------------------------- Applica ion desc repipe 12 fixtures ------------ -------------------------------- Owner Contractor ------------------------ -------- ---------------- LESTER, FRANCIS A DAVID GRAY PLUMBING INC. 1515 SE VA MARINA DR 6491 POWERS AVENUE ATLANTIC BEACH FL 322335613 JACKSONVILLE FL 32217 (904) 724-7211 ------------ ----------------------------- Permit . . . . . . PLUMBING PERMIT Additio al desc . . . 00 Permit 'Fee . . . . 139 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/01/14 ------------ -------- ---------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 09 STATE PLBG DBPR SURCHARGE 2 . 09 ------------ ---------------------------------------------------------------- Fee summary Charged Paid Credited Due _ _ ---------- --- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 18 4 . 18 . 00 . 00 Grand Total 143 . 18 143 . 18 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Inf mr-bcn Systemscrry 0 904-247-5545 P•1 PLUMBING PueNuT APPLICATION CITY OF ATLANis BEACH 800 Seminole Rd Atlantic Bah,FL 32233 Ph(904)247-526 Fax(904)247-5845 JoADDRESS: P� ig # 1�TT INS �.�i,ATI®1a1: Project Valve$ 7�9�•��- ��R�PLAv OTY Tyro oFF RE OTY Tr7L OFFD(TURE Septic Tank&Pit Bathtub Shaver clothes Washer -Dishwasher Shower Slop Sink Drinlang Foun Three Compartment Sink Floor Dram Toilet Floor Sink ---- Urinal Hose-Bits Vacuum-Breakers Kitchen Sink Nater Connected Applian_=s Laundry Tray Water Heater Lavatory Nater Trea mg System -Other Fbcrmes RF+-7PIP�+o QTY off'F �TY 7,17E oE'FI UVRE Hafhtub Septic Tank&Pit Shower Clothes WasherShower Pan Dishwasher S Lop Sink Drinking Fountain -_ _....-- Three compartment Sink Floor Drain Toilct Floor Sink Urina-L Flose Bibs ---`— Vwunm.Breakers Kitchen Sine Water Connected Appliances Laundry Tray Water Heater Lavatory Nater Treating System Other Fi. r MSCELLANEO S: ons quh---3 sets of 02m) C] Sewer Replacement C3Basic Flow Preventzr ❑ Grease InteTczptor(Trap) T ❑ Lawn Sprinkler 5yst m 1��uniber of�3eads ❑ VST SJRWD Well C4mvl do .Fora. Compleetcd firm to be submitted to tl.e—Building DepartrLen�ff®r i �l inspection.-# Other c^^=becomes roid if war: s net commence within a sax manth period or wars is suspended or abandoned for six rnonths I hereby certify that I have read this application and know the to be true and co=cL Al provisions of laws and ordinances governing this vmrr vrill ta.cot plied with whether spe-'fi d cr not The ge mit does not a csrity Via We the provisions of arty other state or local lav regulahon construction or the perfarmance of const-cticn. � � Phone ItiT�ber"��'•��-�� Pmperty Owners Nam � - Jti nl� C,Dav1 ' 'P $iOffice Phone Ph=bing Company s� S� t3 ;t;�g0 (,®til$ 8 V L rP-QTF,!R State Zip Co. Address: City _ ;. ,., _-`r 221 i `J �+J vi4w v'.,�• J License Holder(Pry ); 1 State Certi*icatianfl?ebistraron.# C 1!` lVotarrzad S4rature tqf License Holder 20 S-,prom and subscribed before me ttais i dof '071 pr. N:)tary Public state of Florida Signa=e of Notary Public Neal R Major ''tR �a� My Comm ssio EE032510 ipd" Expires 12/2012014