Permit 123 Fleet Landing Blvd PLUMB 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001573 Date 1/20/11
Property Address . . . . . . 123 FLEET LANDING BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
4 fixtures
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Owner Contractor
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NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC
FLEET LANDING 1738 KINGS AVE
1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32207
ATLANTIC BEACH FL 32233
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 7/19/11
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 87 . 00 87 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: VA+ I Z3 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FixTuRE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory i 4 0-"'fAt-J Water Heater
Other Fixtures 2- 1)y VA(t? Water Treating System
RE-PIPE:
TYPE OF FixTuRE QTY TYPE OF FixTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I rooc Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS: (k
* Sewer Replacement El Back Flow Preventer Ei Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
* Lawn Sprinkler System-Number of Heads 0 Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
o Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number *W4151
PlumbingCompany �qcw3m, P1wjnv\r-\ Office Phone .3q3- Fax M1:0L5
Co. Address: City(TaCV4bVIQIJ(� Statej�, Zip---32�;-2_0_)
License Holder(Print).
State Certification/Registration# )5zwv
Notarized S der A
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My COMMISSION 0 EE035103 wom and subscribed before me t
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EXPIRES October 17,2014
ignature of Notary Public
(10 )=396-0153 -- 1�-