5306 FLEET LANDING BLVD PLUMBING ?, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
3013 INFORMATION:
Job ID: 15-PLBG-1321
Job Type: PLUMBING ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 6/5/2015
Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 5306 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 $14.00
Trade Permit Base Fee $55.00
Total Payments: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
JUN-05-2015 20:45 From: To: 19092475845 Paae:415
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
[OB ADDRESS: ( PERMrr#
VEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFfxTURE QTY TYPE oFFLxTURE 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:
TYPE OF FLYTuRs QTY TYPE OF FixruRE 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 Fortunes Water Treating System
WISCELLANEOUS:
D Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
7 Lawn Sprinkler System-Number of Heads ❑ Well
•*VRWD Well Completion Form. Complete fa orm W be submitted to the Building Department for final inspection.**
7 Other
'enait becomes void if work does not rnnitnence within a six month period or work is suspended m abandoned for six months.I hereby certify the I have read
his application and know the same to be we and rgrrcct All provisions of laws and ordinances governing ads work will be Complied with whether specified
o not. The permit doea not give authority to violate the provisions of any other stee or local law repletion cooshneeon or the performance of cunsItnction.
aroperty Owners Name FLEET LANDING Phone Number 904.246-9900
alumbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959_Fex904-399-0552
'o. Address: 542435 US Hwy 1 City Callahan_State FL Zip 32011
License Holder(Print): CHRISTOPHER S ASHLEY Certiflcation/Registration#CFC057804_
Vorarized Signature of License Holder
Sworn and subscribed before me this 4P �ev�f � .�Olf�
{{^� n P. Tudtsr T
"�XIAZA IFFlaw Signature of Notary Public
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