5309 Fleet Landing Blvd 2012 shower sunroom conversion r; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12- 0000767 Date 6/21/12
Property Address . . . . . . 530S FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO EE UPDATED
Application valuation . . . . 7900
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Application desc
shower and sunroom conversion
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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 SUNROOM CONVERSIION
Occupancy Type . . . . . . RESIDENTIAL
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Permit PLUMBING PERMIT
Additional desc . .
Sub Contractor . . ASHLEY PLUMBI G CO INC . 00
Permit Fee . . . . 69 . 00 Plan Check Fee .
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/18/12
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Special Notes and Comments
need noc
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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 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 Beeach, FL 32233
Ph (904) 247-5826 Fax (9 4) 247-5845
JOB ADDRESS: S� �.9tir�1� PERMIT# �tU
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY T PE OF FIXTURE QTY
Bathtub St ptic Tank&Pit
Clothes Washer St ower
Dishwasher St ower Pan
—
Drinking Fountain SI)p Sink
Floor Drain TI ree 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 T 7PE OF FIXTURE QTY
Bathtub St ptic Tank& Pit
Clothes Washer St ower
Dishwasher St ower Pan
Drinking Fountain SI)p Sink
Floor Drain T1 iree Compartment Sink
Floor Sink Toilet
Hose Bibs U inal
Kitchen Sink V icuum Breakers
Laundry Tray 14 ater Connected Appliances
Lavatory ater Heater
Other Fixtures Wlater 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
Permit becomes void if work does not commence within a six month period or work issuspended 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 ot local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company Office Phone �`���7 SSry Fax � -
Co. Address: City 2X State F-� Zip i Z7 t ,7-
License
5License Holder(Print): AS� State Certification/Registration# 0
Notarized Signature of License Holder
e is y of 20
SHIRLEY L.GRAHAM
ur xYZW ,91ic
Bonded Thru Notary Public Underwriters