1432 Jasmine St 2013 water heater CITY OF ATLANTIC BEACAI
11
I 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003842 Date 12/17/13
Property Address . . . . . . 1432 JASMINE ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
water heater
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Owner Contractor
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MORALES RAYMOND & DAISY DAVID GRAY PLUMBING INC.
1432 JASMINE ST 6491 POWERS AVENUE
ATLANTIC BEACH FL 322330060 JACKSONVILLE FL 32217
(904) 724-7211
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . . 00
Permit Fee . . . . 62 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/15/14
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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
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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.
Mar 08 10 12:54p Infom-ation SyztemsCfy 0 904247-5845 PI
PLUMBING PFWWT APPLICATION
CTI` ' OF ATLA dTiC BEACH
800 Seminole Ptd Atlantic Beach,FL 32233
Ph(904)247-5�2j5 Fax(404)247-5845
,,ADB ADDRESS;
NEW OR REPLACEM ENT INS'FI-LLATY()Nn Project-Value $
TYPE Oso'FL'�?"G"Edi t3TY
YPYi of FY---TJRE OTP
Bathtub Septic Tank&Pit
Shower
Clothes-Washer
-•Dish'ether Shower
Dr inlon-Fountain Slop Sink
e
Three Coffip
Floor Drain art;nezzt Sink .
Toilet
Floor Sim''. urinal
Hose$1II5 Vacuum Breakers
Kitchen Sin.k, Water Connected Appliana s
Laundry Tray Nater Heater J--
L yat(7 Water Treating System
'Qtbar Fn�.ures
RF,
-PIPS:
irPE OF FEUURE QTY nFF OF FLU-mur CITY
BafhWb Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
FoaII`� - Slop Sink
Drinking
__ Three Compartment Sink
Floor Dein Toilet
Floor Sink Urinal
Hose Bibs VaeunmBreak
Kitchen Sari yya;�Conn" ted Appliances
Laundry T my �Watei Heater
Lavatory Water Treating System
Other Fixtures
T�USCEt LLXNEO US: tette'3 sets of pan=)
c3 Sewer Replacement ❑ Back Flow Preventer c3 Grease Int`�ceptor(Trap) gallons C��
❑ Lawn S�nkler�ystem�7uniber of-Heads ❑ Wei �T
SJRT�D �vejj COipletior..Fann.. Completed fo n to be submitted to tate Buildig Department far�'sl inspection.'
❑ Other. .. _. __ - __..
for
tbLl- read
permit becomes void u wor does net commence-within a sax month mod or wars is suspended or
anmdv this Ror•�vri7J�-coruplied with ether ape= '3
this application and]mow the sane to be true Emd cor=--L Al provisions of laws and ardinances go
or not. The pemaii does not giv authorityto vioie, th provisions of any o ar slaty or local]a.v regu]ation construction or the performance of construe ion.
Phone Nt=ber
Pr�7erty Owners Name
O-�ce Phare �'�T'' 7��� Far.�•�5-���
Plumbing Company *�
885U885U iourt. State zip
cityC��'
fT tat:EcationlRegistrat o_�, �
License Holder�Pr�t�: Ste Cer
�� d� _
1�I�i rr� d Sigrstzare of Lieense$drier -
S-wom and subscribed before m this I t da jT o i 20 (J
g k� Notary Public State of Florida
ig�re of Notary Public �� t
`f', LaSheica Wilson
y � My commission EE050523
orwo' Expires 0l/04/2015