5303 FLEET LANDING PLUMBING . 1
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308INFORMATION:
3obID: 15-PLBG-1319
Sob Type: PLUMBING ONLY
Description: 1 FIXTURE
Estimated Value:
Issue Date: 615/2015
Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 5303 FLEET LANDING BLVD
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
GENERAL CONTRACTOR INFORMATION:
Name: ASHLEY PLUMBING CO INC
Address: 11828 NEW KINGS RD STE 209
Phone: -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
SUN-05-2015 20:45 From: Ta:19042475845 Pase:215
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
2 r�
Ph(9^0.4,)2{47.5826 Fax (904) 247-5845
IOBADDRESS: 53O3 TItP]'IfAll�ll �U� PERMIT#
HEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE oFFIXTURE 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
2E-PIPE:
TYPEoFFIXTURE QTY TYPE of FSXTURE 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 plana)
7 Lawn Sprinkler System-Number of Heads ❑ Well **
'*SIRWI) Well Completion Form. Completed form to be submitted toet�ng Department for final inspection.**
i Other
'onout becomes void if work docs oot wmmcnce within a six month period or work is suspended or abandoned for ria months.I hereby comity that 1 have reed
Us apphoation and know the same to be tmc and wnr All provisions of laws and ordinanws governing this work will be wmplied with whether specified
r not. The Permit does not give authority to violate the Provisions ofm y othm stat¢m local law regulation construction or the gMormance of wllstfuctiop.
)roperty Owners Name FLEET LANDING Phone Number 904246-9900
)hlmbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959_Fax904-399.0552
;o. Address: 542435 US Hwy 1 City Callahan_State FL Zip 32011
Acense Holder(Print): CHUSTOPHER S ASHLEertification/Registration#CFC057804_
Vomrized Signature of Liceme Holder
Swom and subscribed before me Ns
Nathan R TtRiker00,
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Signal=ofNotary Public.