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Permit #2021051804

Parcel Id: 22-11-31-5912-00000-0150
Block: 00000
Subdivision: 1245 - VILLAGE D1-B AT GRAND HAVEN
Job Phone: 904-824-2605
Location Address: 50 SHINNECOCK DR
Type: GA - GAS
Issue Date: 06/21/2021
NOC: Unknown
Applicant name: DAVID R ROWE
Owner: GUY WAYNE M & SUSAN J H&W
Address 50 SHINNECOCK DR PALM COAST, FL 32137
Lot: 0150
Contracted Stated Job Value: ¤1,161.00
Job Description: 200 # CYLINDER W/LINE TO RANGE
Type: CN

Status	Location Address	State License Number	Phone
INACTIVE	45 SOUTH DIXIE HIGHWAY ST. AUGUSTINE, FL 32084	01593 (Exp: 08/08/2022)	904-824-2605

Type	Request Date	Result	Inspector
GAS FINAL	07/06/2021	FINAL APPROVED	JGIBSON
GAS ROUGH	06/30/2021	APPROVED	WMILLER
Note: THIS IS A REINSPECTION 1. need approved plans on site for inspection. 2. need depth markers for burried pipe. 3. gauge is marked for 15 lbs and has dropped to 5 psi 6-30-21... notes above resolved
GAS ROUGH	06/29/2021	Disapproved -FEE REQUIRED	WMILLER
Note: 1. need approved plans on site for inspection. 2. need depth markers for burried pipe. 3. gauge is marked for 15 lbs and has dropped to 5 psi

Department	Status	Date In	Date Out
PLUM	COMPLETE	05/28/2021	06/07/2021
Note: Released By: FRED REODICA - (386)986-4734 - FREODICA@PALMCOASTGOV.COM
ZON	COMPLETE	05/28/2021	06/01/2021
Note: Released By: JACQUELINE GONZALEZ - (386)986-3751 - JGONZALEZ@PALMCOASTGOV.COM