5214 ANTARES CT PLUMBING J� )!S iA4
CITY OF ATLANTIC BEACH
y� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
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INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
_ MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-1320
Job Type: PLUMBING ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 6/5/2015
Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 5214 ANTARES 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: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
JUN-05-2015 20:45 From:
To:19042475845 paee:3�5
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-584S
FOB ADDRESS:_5r�� P t r /I AreJ PERMTf#
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YEW OR REPLACEMENT INSTALLATION: Project Value$
TYPEOFFIXTURE QTY TYPE orFLYTURE QTY
Bathtub
Clothes Washer Septic Tank&.Pit
Shower
Dishwasher
Drinking Fountain Shower Pan
_� Slop Sink
Floor Drain Three compartment Sink
Hose Bibs
Floor Sink Toilet Partin _�.
Urinal
Kitchen Sink LaunVacuum Breakers
Lavatory Trey Water Connected Appliances
ry
Other Fixtures Water Heiner
Water Treating System
2E-PIPE:
TYPEoFFLYTURE QTY TYPE OFFLCTURE QTY
Bathtub
Clothes Washer Septic Tank&Pit
Shower
Dishwasher Shower Pan —'
Drinking Fountain
Floor DramSlop Sink
Floor Sink Three Compartment Sink Hose Bibs '— Toilet
Urinal
Kitchen Side iVacuum Breakers
CavaLauatdory Tray Water Connected Appliances
Other Futures — Water 1 Water Treating System
MISCELLANEOUS:
I Sewer Replacement ❑ Back Flow Preverder ❑ Grease Interceptor(Trap) gallons(Requires 3 um of plans)
I Lawn Sprinkler System-Number of Heads ❑ Well +•
..SIRWD Well Completion Form. Compie fte�ormtoto be submitted to the Buil ing Department for final inspection.—
Other
-ommt becoio d if h d t within a six month=od or wok is saspended or abandoned for six months.I hereby cmnfy that I have read
'is epplicanon and k�ww Me same to be true and mrtect. All pruvlslans of laws and ordinances goveming this work will h compliW with whetherapecifcd
.r not. The permit docs not give authority to violate Me provisions of any other stme or local law regulation consaaedon or Mc perfarmmcc of consWction.
Property Owners Name FLEET LANDINGPhone Number 904-246-9900
'lumbing Company ASHLEY PLUM ING Oh4PAaY W-C Office Phone 904-393-7959_Fax904-399-0552
:o.Address:_542435 US Hwy 1 City Callahan_State FL_Zip 32011
Jeense Holder(Print): CIEUSTOPHIERS S EY cation/Registration#CFC057804_
Votarized Signawre of License Holder
Swoon and subscribed before me this�_da ofJruiir' .iao/t!
. / Nefn R Tudw Signature of Notary Public
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