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Permit Plumbing Coleman Center Alt & Reno 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ........... INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001136 , Date 10/16/12 Property Address . . . . . . 1 FLEET LANDING BLVD Tenant nbr, name . . . . . . COLEMAN CENTER ALT & RENO Application type description COMMERCIAL ALTERATION Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 350000 ---------------------------------------------------------------------------- Application desc INTERIOR RENOVATIONS & ALTERATIONS COMMONI & OFFICE -- ------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE COASTAL RECONSTRUCTION INC FLEET LANDING 5570 :iFLORIDA MINING BLVD S#304 1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32257 ATLANTIC BEACH FL 32233 --- Structure Information 000 000 INTERIOR RENOVATION Occupancy Type . . . . . . ASSEMBLY ----------------------------------------------- ---------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . ROLLAND REASH PLUMBING Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/14/13 ----------------------------------------------- ---------------------------- Special Notes and Comments PER JAX FIRE SEPARATE PERMIT AND PLANS REQUIRED FOR FLA SPRINKLER WORK 2010 FLORIDA BUILDING CODE, FLORIDA FIREIPREVENTION CODE 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 -----------------------------------------------L---------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 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 JOB ADDRESS: —PERMIT# 1�?_1111_5146 NEW OR REPLACEMENT INSTALLATION: Project Value $ "1400,9, 00 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 RE-PIPE: TYPE OF FixTURE QTY TYPE OF FIXTURE QTY i 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: Ei Sewer Replacement Ei Back Flow Preventer E:i Grease Interceptor (Trap) gallons(Requires 3 sets of plans) E Lawn Sprinkler System-Number of Heads El Well SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." Ei 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 autho i to violate the provi f y th r state or local law regulation construction or the performance of construction. Property Owners Name -7; Ci!:Z:oz1fr� Phone Number iE A41 — 6F61—po_'/7/� Plumbing Company 01-4,91"10 (!5-', Office Phoneo-Z-'O' —7a-,5-11 Fax,5WO—0 916" Co. Address: LI�07 A4k 4?,al) P city State 15—Zip V:22 License Holder(Print): 4_0��10 St Cortification/Registration 0-.5-7,/ q fA&tM~der Notarized !'40 SION VMU MY COMMISSION UD 9t br e F ary EXPIRES:Febru lary P ","Qr and subscribed befor me is ay of 20J2:: Bonded Thru Notary Public Signature of Notary Pub