2212 Laughing Gull Cir 2014 Plumb � 'r�j1,.Lyj1J�
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-PLBG-426
Job Type: PLUMBING ONLY
Description: REPIPE 11 FIXTURES
Estimated Value:
Issue Date: 11/14/2014
Expiration Date: 5/13/2015
PROPERTY ADDRESS:
Address: 2212 LAUGHING GULL CIR
RE Number: 169463-0026
PROPERTY OWNER:
Name: WALLACE, RUTH N
Address: 2212 LAUGHING GULL CIR
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE QA DAVID FRED GRAY
Phone• - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $77.00
Trade Permit Base Fee $55.00
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 08 10 12:54P Information Sys temsCFFY 0 904-247-5845 PA
PLU-M31NG PER1UT APPLICATION
CITE' OF AT]LAN nc BEACH
$00 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5$26 Fax(904)247-5845
JoB ADDRESS- � 5 OPP 3 5 PES 9
NEW OR LAr.UAENI'INS'CALLATION: Project Value $
TYPE ovFrr-MBE OTY Types of F=URE CITY
Bathtub Septic Tank&Pit
Clothes Washer Shower
,Dishwasher shower Plan
D;inidng Fountain Slop.Sink
Floor Drain Three Cosmpartment Sink
Floor Sir& Toilet
Hose Bias Urinal
Vacuum Breakers
Kitchen Sint Water Connected Appliances
Laundry Tray Water Heater
Lavato Nater Treating System
-C?ther�i�ures
-PIPIT+
PE OF FfTUIZE ��E Dry OTY
Bathtub Sep-dc Tank&Pit
Clothes Wasber _►__ Shower
Dishwasher Shower Pan
Drinking Foant-ain _ — Slop Sink
Floor Drain -. Three Compartment Sink �-
Floor Sink Toilet
Hose Bibs — 1 —
Kitchen �_ Vacurm Brv�trr
Kitche 'Sink
Fater Connected AppliancesLziiiid1
water Heater ---�-- ``
Lavatory -- — -Tater Treating System
Other Factures
MISCELLANEOUS: gallons �atzet 3 sets of a�)
❑ Sewer Replacement ❑ Back Flow Presenter ❑ C7'ease lntfnr=ptor(Trap) gall (Re� P
❑ �TeIl *T
❑ Latir- Spi nk er System-Number of-Heads o De ��ent "or Via?rection.=*
`- SJRT �a17 Conn Forte. Completes f�=to be submitted to t e Buildi� p
O Other.
^-ezmn becomes soil if wcr' does net cammence within a sax month period or work is saspended or abandoned for si months I hereby'cer dfy that I have read
this application and know the, to be true and correct. All provisions of lzws and ordinances goveamg this Frorc-WU I---complied with whether speed
this
❑apot- The peJnit does not give ority to vitolatr11the pr1ovasions of arty other state or local law reg,mon construction or the performance a icoin eaoon.
Owners Name � Lk) I I�r Phone rh�*rn�r
Property V`Nl.l -
avkJ Gray Plum, bang, lime. Off--c-Phone �;�z7' 7�='� Fax.��-
Fl=bing Company f '
88513 L13rPri eIK SPR-38re- COUF1 State Zip
Co. Address: city
L.i�cense Holder(Frint). sr ��. ;'�Y _Staie Certi*catianlRegistr on C /�
Notarized S;gnatuPe of Lir-ense Holder
Sworn and subbed before me this� of 2014-
Signage ofNotary P-xib- Gl �.l Ca.,
QAW°k, Notary Public State of Florida
_ LaSheica Wilson
My Commission EE050523
apo Expires 01/04/2015