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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