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1515 SELVA MARINA DR 2015 PLUMB D�jljr `S J CITY OF ATLANTIC BEACH 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: 15-PLBG-818 Job Type: PLUMBING ONLY Description: sewer replacement Estimated Value: Issue Date: 4/9/2015 Expiration Date: 10/6/2015 PROPERTY ADDRESS: Address: 1515 SELVA MARINA DR RE Number: 171950-0000 PROPERTY OWNER: Name: LESTER, FRANCIS A Address: 1515 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 SystemsCFFY 0 904247-5845 p.1 PLUMBING PERMIT APPLICATION Crry OF ATLANTIO BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-526 Fax(904) 247-5845 NEW OREFI LACENaNT UgSTr-LLATION.' Project Value g �Z`{�{E>, 60 TYPE o-Firraz QTY TYFi or FV�'.T RE ©TY Bathtub Septic Tank&Pit Clothes Washer Shower Dish Shower 1"M L-inking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sin: Toilet Hose BFUS Urinal Kitchen Sin_ Vacuum Breaicrs Laundry Tray Water Connected Appliaa�.:.s Lavatory Water Heater Qtl�er Fix u>ces Water Trea-ting System -.-PLPL+a 3`_-FE oF F=L�..�:: QTY TYPE or%FL F=-,;?z ®TI Dathtub Septic Tank&Pit Clothes Washer Showe: Dishwasher Shower Fan Drinking Fot1n aiSLOP Sink Floor Drain _— Thr Compartment Sink Floor Sink Toihn Hose Bibs Uy inai Kitchen Sin Vacua Brlraker Laundry Tray- Waw Connected Appliances Lavatory 'Water FIeater Other Fi=res We_eT Treating System 1ATSCE�:�.,ANEOUS: Sewer Replacement ❑ Back F'iovv Freventer ❑ Grease Imterczptor (Trap) gallons CRPquizess 3 sets of pian) ❑ Law-m Spznkler System--t Iunber of Heads ❑ Well *T tt &R WD ;Fell Compleffor Form. Complet d form to be, submitted to the Luildi� Depa-tr:u_eni.fer-�m1 :nspectior_.= Other !'( x- 14 4A•v� '�LtoL _. Pormit becomes vo,e u wcr:does net ccmMence-wilhin a sax n;onth period or work is sspended or abandoned for si_{months.I hereby c -iify that 1 have red his implication and:mcw the same to be true and corre=i. Al provisions of laws and erdLzasces gove:*9mg this wor_:will bee complied with whethza spedfi•e3 or not- The 2e=it does not give albority to vioaa.e the provisions of any other stat-or local lav regulation cnnsmaction or the perfozmance of ccastueion. P:70-perty Owners Name mo N x(,72 Phone Ntunber'?tet'Wl' E44 Plurrobing Company Davi _r:F ,i ,�3t.robing, Inc. Oifce Picone 7�_�� rr %�-��dU� Fax� Co. A 8850 i:;+rprjj'..,__ �.�;���� c,ottc? � . >adress: _ - City State Zip I s w icense Holder 'r t�j y✓i V ''nn ;}Y State Certi*��-cation/Registr4*i�on 9 A:atanzed Sj�,Pature mf Lacznse Halder 10 4� '0161-4U.P11 Srorr and subs.rigid £oce rye tt+is day o it I 2D S Signature of Notary Public&)a5h. i:� Notary Public State of Flonda LaSheica Wilson .per My Commission FF 180366 00 Expires 01/04/2019