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1726 Selva marina Dr 2015 PLUMB CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J v 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: 15-PLBG-275 Job Type: PLUMBING ONLY Description: water heater Estimated Value: Issue Date: 2/5/2015 Expiration Date: 8/4/2015 PROPERTY ADDRESS: Address: 1726 SELVA MARINA DR RE Number: 172005-0000 PROPERTY OWNER: Name: MOBLEY ET AL, WILLIAM R Address: 1726 SELVA MARINA DR 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. Mar 08 10 12:54p Information Systemscrry Q 904247-5845 P.1 PLUMTtG]PERMIT APPLICATION crry OF SAT LAITTC BEACH 800 Seminole Rd Atlantic Beaeh,FL 32233 Ph(904) 2_47-5826 Fax(904)247-5945 JOB ADDRy sS- �� PERMT I -W OR REPLACEFAM T INSTALLATION: Pro jer d Value $ TYPE or-FixTGR' OTY z•PPH Dr�rURE o�Y Septic Tank&Pit Bathtub Shower Clothes Washer steer t—an Dishwasher Slop Sink Dr inking Fountain Three Compartment Sillk Floor Drain Toilet Floor Sink -urinal 14-cse bibs Vacuum Breakers Kitchen Sink Nater Connected Applia--=s Laundry Tray Water Heater Lavatory water Treafng System Otlaar��ures 7yP�o-Fmv, I `yTL-On FflD� Septic Tank&Pit E athtub Shower Clothes Washer Shower Pan Dishwasher Stop Sink Drinldnde Fountain -..--= Three compartment Sink Flcor Drain Toilet Floor Sink U,inat Hose Bibs vacuum Breaken Kkehen Sink Watz;r Connected Appliances Laundry Tray ------ Water Heater Lavatory Nates Treating System Other Fixtures TVUSCELLANEOUS: gallons(Requires 3 sets of paw ❑ Sewer Replacement C1 Back Flow Presenter ❑ Grease Interceptor(Trap) *T ❑ Lawn Spbinkler system 1'�7uniber of Heads__ ❑ Well �D �2ZJ�,o�1�Zeti�,.Forte. Completed form to be submitted to the B—Building Depastr�-eni for Fm�l inspection.�" ❑ Other. - - citify that I have read ended or abvcrandoned for six months.I hereby ^can t becomes void u or.,,does net commence�thm a sa^month p°riod or work is snsp _rur this aDpiication and]mow tm came to be true ffi vio a�the provispons o€any o h>r slate or oval]a��All rovisions Of laws and crdi-nancts -id cor:rca- '�n ca�ciion],orvthc gcrfarma�ce of co strucaon� or UCL The PC,-Jul does cot give authority Phone N=ber Pro-art- Owners Larne �1�-�� l Q, $ 3 Sia °i �Y ' �timbing, Inur, 1 Difc:Phone Fax Plumbing Cnrnpany _ re court Zip bbbu U-? o.c)rf;�_;u. vS State city ' Co. Sae Certification/Registration C License Holder a�rint), 7 . 1V �j �,�- rjomrizgd Signa pare of LacP.ise rvldeT 20 Ih S,�rom and subs..-rihed hefo a me Ws�—da-f of Sl&na;S,r of Notary e R Notary Public State of Flonda LaSheica WilsonMy Commission FF 180366 Expires oito4ao19