5519 RIGEL CT PLUMBING CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
708 INFORMATION:
Job ID: 15-PLBG-1322
Job Type: PLUMBING ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 6/5/2015
_ Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 5519 RIGEL CT
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 $14.00
Trade Permit Base Fee $55.00
Total Payments: $73.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JUN-05-2015 20:46 From: To: 19042475845 Pase:5�5
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
IOB ADDRESS: SSI V PERMIT#
YEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF Fix TIRE• 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
Bose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
?E-PIPE:
TYPE OF FIXTURE QTY TYPEOFFIXTURE 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 Trusting System
1IISCELLANEOUS:
i Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads ❑ Well
ddToto be submitted *"
'*S/RWD..Well Completion Form. Completeto the Building Department for final inspection.**
:i Other
'emit becomes void ilwork Cod not commence within a six month period or work Is suspended or abandoned for six months.I hereby certify that I have read
his application sod know the sane m be true and cormct. All provisions of laws and ordinances governing this work will be complied with whether specified
r not. The permit dad not give authority to violate the provisions of any other sone or local law regulation construction or the performance of constnutiom
Property Owners Name FLEET LANDING Phone Number 904-246-9900
Numbing Company ASHL.FY PLUMBING COMPANY INC. Office Phone 904-393-7959 TFax904-3994)552
Z�o. Address: 542435 US Hwv I City Callahan State FL Zip 32011
License Holder(Print): CHRISTOPHER S ASHLE Certification/Registration# CFC057804_
VotarizedSignahrre of License Holder
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