4307 FLEET LANDING BLVD - PLUMBING CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-2100
Job Type: PLUMBING ONLY
Description: PLUMBING - KITCHEN SINK, WASHING MACHINE & ICE
MAKER
Estimated Value:
Issue Date: 9/3/2015
Expiration Date: 3/1/2016
PROPERTY ADDRESS:
Address: 4307 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: 542435 US Hwy 1
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
•CITY OF ATLANTIC BEACH a/1 i elm l�
800 Seminole Rd Atlantic Beach, FL 32233 1 j-P - .20 Dg
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: '3G—) Rev, ` I y PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 _A— Vacuum Breakers
Laundry Tray Water Connected Appliances 1-- f,tXSht e ,/t2
Lavatory Water Heater
Other Fixtures Water Treating System ice- r
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 **
** SJRWD 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: 542435 US Hwy 1 City Callahan State FL Zip 32011
License Holder(Print): CHRISTOPHER S/4SHLEY State Certification/Registration#CFC057804_
Notarized Signature of License Holder
.,;,i;k•... KELSEY R STROBLE. worn and subscribed before me da of .11.12A A –,
i. •€ MY COMMISSION#FF172428 0` EXPIRES October 28.2018•ignature of Notary Public ■ f i
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