Permit Bath Remodel 3101 Fleet Landing 2012 (
A
� � � , � SA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000245 Date 3/08/12
Property Address 3101 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2100
Application desc
Change tub to shower, remodel 2 baths
Owner Contractor
NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS
FLEET LANDING 6771 SHINDLER DR
1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32222
ATLANTIC BEACH FL 32233 (904) 838 -9179
- -- Structure Information 000 000 REMODEL 2 BATHS, TUB TO SHOWER ETC.
Occupancy Type RESIDENTIAL
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . ASHLEY PLUMBING CO INC
Permit Fee . . . 69.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/04/12
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 69.00 69.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 73.00 73.00 .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
J
/2 - 2 c l
OB ADDRESS: 1.1 t' .Q- UJ PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 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 Water Heater
Other Fixtures 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 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System - Number of Heads ❑ Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
❑ Other 56),....,-6- - 5} Jt, 1 –ran
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 authori to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name eP C b v\-_) Phone Number
Plumbing Company 0■ f Office Phone '" 7 9 Fax 3 % /' 2-
Co. Address: tatigE ,; '9 Ci -� wrl le State Zi 3 7 ��
� " ' P
License Holder (Print): lr f- Ac, i0 .r - - Certification/Registration # C 0S $ol
Notarized Signature of License Holder /, of.--
fr :+S � A cribed befo of ' % q L- 20 /
=.: , ? MY COMMtSS # DG 95776
? ;� rodc EXPIRkgi Public ,a ..
,�,, r` Bonded Thru Notary Public Underwriters ����'— •