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2335 Fiddlers Ln 2014 Water heater j�`Lyr1v� CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000703 Date 5/05/14 Property Address . . . . . . 2335 FIDDLERS LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc 1 fixture water heater ---------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LASCH, WAYNE D DAVID GRAY PLUMBING INC. 2335 FIDDLERS LANE 6491 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 724-7211 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/01/14 ----------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -- 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. 10ar 08 10 12:54p Info=nton SystemsCiTY 0 504-247-5845 p.1 PLUMBING PER-ART APPLICATION Crry OF ATLAN is BEACH 800 Seminole Ptd Atlantic Beac h,FL 32233 rPh(904) 2ii47-5526 Fax(904)247-5845 JoB ADDREESS: I rS -on e— PERS 9 NEW ORREPBAL'- aN'INSTAT 1AIION: Project Value $ TYPE oma-Fvumw OTY TYFE of F uRE OTY Bathtub Septic Tank&Pit Clothes Washer Shower -Dishwasher shower fan Dr inking Fouut3in Slop Sin' Floor Drain Three Compartrnea# Sink Floor Sink Toilet Hose;sins Urinal Kitchen Sial,- Vacuum Breakers Laundry Tray Water Connected AppliaL=s Lavatory Water Heater ., �{JE -Otlher ,x;ares Water Treating System �1. i -PIPE P 2`YFE OF Ft�Zc��2 3'T f T +� OF FLffVRE CITY Dafhtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Foantaim Slop Sink Floor I?iain - T'hr=Compartment Sink Floor Sink Toilet Hose Bibs Ural Kitr-heu Sink Vacuum Breeder Laundry T ray Wafer Connected Appliances Lavatory water Heater Other Faat=es Water Treating System !�USCELLANEOUS: ❑ Sewer Replacement ❑ BaokC Flow Pretienter ❑ C-cease Interceptor(Trap) gallons(Requix--3 sets of pit m) ❑ Law-m Sp;�nkler'System Z`=ber of'Heads ❑ Well STRFF D ?Fell Ccimplerior.For-m. Completed form to be submitted to the Binding Department for mal rection.=* ED Other. ^ermit becomes void if wor?c does not commence within a sr month period or work is suspended or abandoned for six sanths.I hereby c_safy that I have r�zd this application and know the same to be t-ue Emd correct. Al provisions of laws and ordinmccs govcmmg this vmrk will to complied with whetber speaif-d or not- The pea t does-not give authority to violate the provisions of y other state or local lav regulation con-�nvetion or the perform--ac of construction. PrB7erty Owners Dame Phone IST=ber Ph=biag Company- •ala �.� �N r�?�°T�i�3��B�, Inc. O-Mce Phone �*—r .'�� Fax :z-�� 8856 Corpors, ,z Spjuare Court Cc. Address: City State zip License .. :�Y St3#e Cert* License E[older(That): catianlRegistr on Notarized Signature mjLtcense$ohL-r � S`wom and subscriL-ed before me this :.d day of 2014— Signage of Notary Public .�a4 481Ai#Pu&e ftle&Florida 1YalV K60t30523 oV P Notary Pudic State of Florida LaSheiCa Wilson < My Commission EE050523 or wok Expires 01(04/2015