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5212 Fleet landing Blvd 2012 shower conversion ClY OF ATLANTIC BEACH 1 s) 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- 00000766 Date 6/21/12 Property Address . . . . . . 5212 ANTARES CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2375 -------------------------------------- ------------------------------------- Application desc shower conversion -------------------------------------- ------------------------------------- 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 SH ER CONVERSION 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 ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT'iAPPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic , each, FL 32233 Ph (904) 247-5826 Fax ( 04) 247-5845 JOB ADDRESS: Z\2— �� PERMIT NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub ptic Tank& Pit Clothes Washer S iower Dishwasher S iower Pan Drinking Fountain S op Sink Floor Drain ree Compartment Sink Floor Sink ilet Hose Bibs inal Kitchen Sink cuum Breakers Laundry Tray ater Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY T rPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer St iower Dishwasher S1 ower Pan Drinking Fountain SI)p Sink Floor Drain T1 ree Compartment Sink Floor Sink Toilet Hose Bibs U inal Kitchen Sink V cuum Breakers Laundry Tray ter 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 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 t violate the provisions of any other state or ocal law regulation construction or the performance of construction. Property Owners Name L",� I, Phone Number Plumbing Company Office Phone Fax 15'90S5 Co. Address: ( 171 0o �- City���C State f� Zip 'L-L License Holder(Print): t, State Certification/Registration Notarized Signature of Lic ld­ SHIRLEY L GRAHAM r; a te ruary e is y Of 20 Bended Thru Notary Public Underwriters b is