111 FLEET LANDING BLVD- WATER HEATERCITY 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-1369
Job Type:
PLUMBING ONLY
Description:
WATER HEATER
Estimated Value:
Issue Date:
6/10/2015
_ Expiration Date:
12!72015
PROPERTY ADDRESS:
Address:
111 FLEET LANDING BLVD
RE Number:
LOC ID -0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE QA DAVID FRED GRAY
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 FIXIMA
BUILDING CODES.
Mar 08 10 12:54p Infornlalon SystenrsCfTY 0
,TOB ADDRESS:
904-2475845 P.1
PLU_rymBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5$25 Fax (904) 247-5845
NEW OR REPLACEMENT INSTALLATION:
TYPEOFFY.lTVRE QYr
BaRrtub
Clothes Washer .
Dishwasher
Drinking Frnmtain
Floor Drain
Floor Sink
Hose Bibs
Kitchen Siak
Laundry Tray
RF -PIPE;
Lavatoryry
IZ)d FY dares
Project Value S
TYPE OFF7.avitE
Seotic Tank & Pit
M
TYPE of Fr! ' QrY
TYPE OF FLYTDRE
Baintub
Sag& Tank & Pit
Clothes Washer -
Sho
Sho '
3howc Pan
Dishwasher
-
Slop Sink
DrinkmF Fouatam
Three Campartrn®t Sink
Fioor Drain
Toilet
Floor Sink
Hose H'bs
Kitahea Sank
Urinal
Vacupm Bregkera
Laundry Trey,.
Water Connectad Appliances
Lavatory
Water Feats
Water Treating System
Other Fi cures
awr#
Orf
Qr'Y
MISCEI.I .ANEOUS:
❑ Sew¢ Replacemeff ❑ Bar3c'Flow Presenter ❑Grease Tnterce�i ta' (TmP) _ gallons (Au4"h®3 aem of paws)
0 Lawn Sprinkler System -Number of Heads ❑ Well `-
** eII Completion F. Completed tom to be submitted to the Bo;t�;r,.e Depaxhaeni for final inspection.**
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Property Owners Name Jae4 �.lO(,j
Plumbing Company David Garay Plu
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Co. Address: -
License Holder (Print): p`'r--
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