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