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106 Fleet Landing Blvd 2012 Shower Conversion =z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000731 Date 6/21/12 Property Address . . . . . . 106 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5600 --------------------------------------- ------------------------------------ Application desc shower porch repair donversion --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 6771 SHINDLER DR 1 FLEET LANDING BLVD JACKSONVILLE FL 32222 ATLANTIC BEACH FL 322334599 (904) 838-9179 --- Structure Information 000 000 SHOWER/ PORCH REPAIRS 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 . . 12/18/12 --------------------------------------- ------------------------------------ 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 ITLANTIC 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 (9 4) 247-5845 JOB ADDRESS: ��Q PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TrPEoFFixTURE QTY Bathtub Septic Tank& Pit Clothes Washer Slower Dishwasher S iower Pan Drinking Fountain S op Sink Floor Drain Tree Compartment Sink Floor Sink T ilet Hose Bibs U final Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY T PE OF FIXTURE QTY Bathtub S ptic Tank& Pit Clothes Washer St ower Dishwasher St ower Pan Drinking Fountain SI)p Sink Floor Drain Tree 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 Inte ceptor (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 Permit becomes void if work does not commence within a six month period or work is uspended 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 oidinances 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 Plumbing Company L Office PhoneFax 3 Co. Address: City��� State- Zip �>ZZ T License Holder(Print): State Certification/Registration# iG o5--2 Lq_ Notarized Signature of License Holder •iR' ....: m an e i e this ay of ' 20 MY COMMISSION#DD 9 78 TEMPI p� �2 Y Public Underwriters