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211 Beach Ave Plumb 2014 ' `j, CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-PLBG-455 Job Type: PLUMBING ONLY Description: 1 fixture Estimated Value: Issue Date: 11/18/2014 Expiration Date: 5/17/2015 PROPERTY ADDRESS: Address: 211 BEACH AVE RE Number: 170188-0000 PROPERTY OWNER: Name: SIMMONS, RICHARD L Address: 211 BEACH AVE 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 $7.00 Trade Permit Base Fee $55.00 Total Payments: $66.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 3 Mar 08 10 12:54p Inforrnabon Sys temsClTY 0 904-247-5845 p.1 PLUMBING PUMNUT APPLICATION Crry OF ATLAI Tic MACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-526 Fax(904) 247-5845 JoB ADDRESS: C;))1�v` , f�V� �3 PF' 9 NEW OR REPLACM&ENT INSTA-LLA3'ION: ProjectValue � TYPE o--FznrTi-B-E OTY TYT.of FrfrvRE OTY Bathtub Septic Tank Pit Clothes Washer Shower -Dishwasher .ShcNmr Pan Drin2 m-Fountain Slop.Sink Floor Drain Three Compart;neni Sink Floor Sink. � Toilet rose Bins Urinal Kitchen Sink Vacuum Breaiers Laundry Tray Water Connected Applia?c:.s Lavatory, Vater Heater -other Fhct=s Nater Treafing System RE-PITE.- TYPE&F FL—f7v.-,-,F QTY Tyi-E Car'FLErnR--T OTY B afhtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking FoaIItaim SLop Sink _ Floor Drain Thr=Compartrment Sink Floor Sink Toilet Flose Bibs Urinal. Kitchen Sink Vacuum B?� ' Laundry Tray Zahn:Connected Appliances Lavatory water Heater Other Fixtures 'Water Treating System 1�n,SCELLANEOUS: ❑ Sewer Replacemen_ ❑ Back Flo v Pre enter ❑ Grease Interceptor(Trap) gallows((Requires 3 sets of PI-2 � ❑ Lawn Spfinider'System--7=ber of'Heads o Well *T L- SIRJTD Nell Campleton Foy. n. Completed fo to be submitted to th-e Building Depa--tnent for mal inspection.=* g(Qther.. ^-ennit becomes void it wor?c does net commence within a six month period or woe's is suspendod or abandoned for six months.I hereby c`rafy that I lave r�zd this mpiicadon and know L same to be true snd==--L Al provisions of laws and ard"rnascrs govcming this mor;will be complied with whether specified or noL The permit does not gyve authority to violate the provisions of any or,:hir state or local]am regulation construction or the performance of consttruedon. Property Corners None p-,i C' � ��M M 6Y1!� Phone Nikber-&1Q—38 Pl=bing Company Davit] 0-jrYo« Plumbing, Inc. Of El Phone �%�7 � Fax-7;F-;26d? 88501:rpri-_;fie SPUBM Cour? r Co. Address: _ _ . .:..-. r :.lis-.L City State zip � ,. i ':.. J License Holder( rhat); ��''��+��. � ��;�� e Cert ficationrRegistrat on 9 Notarized Sj�pta`zare of Lacense$adder S-,vom and subscribeci before rye ',n �!day of p,IW�Q YI��CZQY 20� Signage of Notary Public ,C" L"L� 2p` i144<6 Notary Public State of Florida LaSheica Wilson P My Commission EE050523 or no Expires 01/04/2015