1313 Fleet landing Blvd 2014 Plumb CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000980 Date 6/17/14
Property Address . . . . . . 1313 FLEET LANDING BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------
Application desc
2 shower pans
----------------------------------------
Owner Contractor
_ ------------------------
NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC
RETIREMENT FOUNDATION, INC 11828 NEW KINGS RD STE 209
1 FLEET LANDING BLVD JACKSONVILLE FL 32219
ATLANTIC BEACH FL 32233 (904) 393-7959
-- -------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . . 00
Permit Fee . . . . 69 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . • 0
Expiration Date . . 12/14/14
_ -----------------------------
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 APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904/)247-5826 Fax(904) 247-5845
.TOB ADDRESS: 1� iit,r PERMIT#AZ_
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower —
Dishwasher Shower Pan 227
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
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:
❑ 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 goveming this work will be complied with whether specified
or not. The permit does not give autho 'ty to viol e the pr visions of any other state or local law regulation construction or the performance of construction.on ` �
Property Owners Name Phone Number-26- 1-
J �- Office Phone �- Fax
Plumbing Company
City Stat��Zip3�
Co. Address:
License Holder(Print): JJ State Certification/Registration#
Notarized Signature of License Holder
040 011V Notary Public state of Fl�for me this day o 0
? S" t.
Shirley L Graham
My Commission FF 0869�gn re of Notary Public
pr Expires 02/1412018