2213 Fleet Landing 2014 plumb ?I!t•L`Ir
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Zvi CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
300 INFORKAZZON-
Job ID: 14-PLBG-244 l'
Job Type: PLUMBING ONLY
Description: 2 fixtures
Estimated Value.
GENERAL CONTRACTOR INFORMATION:
Name: ASHLEY PLUMBING CO INC
Address:
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $14.00
Trade Permit Base Fee $55.00
Total Payments: $73.00
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: VC ERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower �
Dishwasher Shower Pan s�--
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
** SJR WD 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 to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name FLEET LANDING Phone Number 904-246-9900
Plumbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959_Fax904-399-0552
Co. Address: 11828 NEW KINGS ROAD #209 C' y JACKSONVILE_ State FL_Zip 32219
License Holder(Print): CHRISTOPHER S ASHLE ion/Registration# CFC057804_
Notarized Signature of License Holder
Sworn and sub ted before me this day of
Signature of Notary Public