2002 Colina Ct 2013 repipe plumb CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
- INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003525 Date 10/15/13
Property Address . . . . . . 2002 COLINA CT
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
Owner Contractor
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Meyer, Mark DAVID GRAY PLUMBING INC.
1326 Atlantic Avenue 6491 POWERS AVENUE
FERNANDINA BEACH FL 32034 JACKSONVILLE FL 32217
(904) 724-7211
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . 11 FIXTURES . 00
Permit Fee 132 . 00 Plan Check Fee .
Issue Date . . . Valuation 0
Expiration Date . . 4/13/14
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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 132 . 00 132 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 136 . 00 136 . 00 . 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 Inforn-tabon SystemsClF`f O 904-247-5845 P•1
PLUMBING PER11UT APPLICATION
Cr'Y OF A.TLANTTC BEACH
800 Seminole Rd Atlantic Be"FL 32233
Ph(904)2477-5$26 Fax(904)247-5845
JOB ADDRESS' PERMrF
NEEW ORRPLACF-Aff NT iNS'I'A-LLATZON: Project Value �
TYPE o Fixzti OTT TYPEor FrvRE OTY
Bathtub Septic Tamp of Pit
Clothes Rusher Shower
istiwasher •fir I'm
Drinldng Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Dins Urinal
Kitchen Sink Water
Breakers
Laundry Trak Prater Connected Applianc..s
La
Laund Prater Heater
-tither Fixtures Water Treating System
Bathtub Z Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinldn-Fountain = - _ Slop Sink
Three Compartment SinkFloor Drain
Floor Sink Toilet
UrinalHose Bibs /
VacupsnBr�ake
Kitchen Sind / r
Laundry T ray- Water Connected Appliances J
Lavatory Rater Heater
3
Water Treaties g System
Other Fixtures
+
MISCELLANEOUS: ❑ Grease Interceptor(Trap) gallons(Berm-rw 3 sets Ofpa�)
❑ Sewer Replacement ❑ Bank Flow Presenter
❑ Law-�i Sprinkler System_1-7umber of Heads C3 Well *T
t� SIRWD Wei!Cortpletifl,.Forte. Completed faun to be submitted to the Building DePa-tneni for fins1 inspection.
❑ Other
r^errn2 becomes roid u were does net commence within a six month period or wort is suspended or abandoned for six months.I hereby cerdfv that I have read
this appucadoa and blow 8se sante to be true End correct. All provisions of laws and ordinances govcr clog this cror::will�:Complied with whether spe=ifie3
or not The Permit does-not give authority to violate the provisions of any other state or local la^.v regulation construction or Clic performance of construction.
t�
Property Owners Named .215 Phone I�T> ber Z�/ _ Z g/
Plumbing Company
"i , 'Fi + 'iii 9�94�, Inc. OfEce Phone I- 7 _ 3 Fa;-D, -7'2 �
88513 U,)rpriT ~r S0u8M t,ourl State zip
Co. Address: City 5
License Holder(Prat)• J 'r 1�� State CertifioationlRegistrat1on C, /� �(,•
Notanzed S4natuTe of License Hoider
Sworn and subs...-gibed before me ti-31s day of 20
Signature of Notary Public