1510 Selva Marina Dr 2014 Plumbing CITY OF ATLANTIC BEACH.-
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
�DR
010T
Application Number . . . . . 13-00003889 Date 1/08/14
1510 SELVA MARINA DR
Property Address . . . . .
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 -----------------------
-- --------------------------------------------------
Application desc
1 water heater ------
-- -----------------------------------------
Owner Contractor--------------
----------
POLAR PLUMBING
FOSTER ALAN R TRUST ET AL P 0 BOX 2004
1510 SELVA MARINA DR FL 322335614 MIDDLEBURG FL 32050
ATLANTIC BEACH (904) 282-5050
---------- -----------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc - - 62 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 7/07/14 --------------------------------
------- ----------------------------STATE PLBG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00
--------- - ------- ---------------------------------------------------------
Fee summary Charged Paid Credited ----Due---
----------------- ---------- ------- -- ---------- . 00
Permit Fee Total 62 . 00 62 . 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
JoB ADDRESS: SZ,,V4 1"ovA 1-&� PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value $ �/o
TYPE oFFYxTuRE QTY TYPE oFFixTuRE 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
RE-PIPE:
TYPE oFFixTuRE QTY TYPE oF FixTuRE 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:
R Sewer Replacement [V Back Flow Preventer r1M Grease Interceptor(Trap)_gallons(Reqt ires 3 sets
of plans)
Xg Lawn Sprinkler System-Number of Heads rN Well
SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final ins-)ection.**
riM 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 th a 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 whed er 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 cc nstruction.
Property Owners Name ALi t&&7L/ PhoneNumber
r
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1,572) PERMIT #
Plumbing Company -76—lAr- AX 6�t� _tR-A-4 I-J&- —Office Phone 171V'Ze7 Fax_IM
Co. Address: P-6 Ax -7�4 City 1;1*w4tfft*cC— State t-�I- Zip -3Z45r-'
License Holder(Print): A r-StotrCei�tifioation/Registration
Notarized Signature of License Holder
Swom and subsc *bed before I this day of _20—
Signature of Notary Public 7-g�'4�
-Wh
11'Ay P%'
JANET NICOLE PRINDLE
Notary Public-State of Florida
WMY COMM.Expires Sep 23,2016
Commission#EE 837903
are, PI mbing
T cool" a U
Lic.#CFC1425814
Lic.#CAC1815232 www.polarpLumbing.net
www.totalaircare.net 1004 Blanding Blvd
Orange Park, FL 32065
(904)282-5050
Fax: 904.291.5956 info*totalaircare.net
08 January 2014
To: City of Atlantic Beach
Re: Kevin Gray
To whom it may concern:
1, Michael Niquette,the licence holder for Total Air Care, do certify that Kevin Gray is my employee
and is authorized to purchase and obtain permits on my behalf.
Feel free to contact me if you require any additional verification,
gichae I euette
President