4203 FLEET LANDING BLVD - PLUMBING st,\ CITY OF ATLANTIC BEACH
;;_...y f1 800 SEMINOLE ROAD
�tr4P1 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-2219
Job Type: PLUMBING ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 9/22/2015
Expiration Date: 3/20/2016
PROPERTY ADDRESS:
Address: 4203 FLEET LANDING BLVD
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
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.
SEP-21-2015 23:22 From: To:19042475845 Pa'ae:1/1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH en,r
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 )51 cZget)
JOB ADDRESS: .103 Fk€k Ft-CO kud l 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 EWA
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
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer 4 Shower
Dishwasher Shower Pant
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:
C Sewer Replacement O Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads E Well **
**&IRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
B 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 ol•laws and ordinances governing this work will he complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local litw 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 SS A H EY State Certific tion/Registration # CFC057804_
Notarized Signature of License Holder -,
:..\.' ' Nathan P. Tucker ^+ \ .-20/5�
• •;t:CorrxNsalon 4 F>"i 52435
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