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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