4211 FLEET LANDING BLVD - PLUMBING C 'L`I
r 1'Jv�._.''� \s, CITY OF ATLANTIC BEACH
j 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-2591
Job Type: PLUMBING ONLY
Description: 2 FIXTURES 15-RAAR-2489
Estimated Value:
Issue Date: 11/2/2015
Expiration Date: 4/30/2016
PROPERTY ADDRESS:
Address: 4211 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:
Trade Permit Base Fee $55.00
Plumbing Fixtures $14.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Total Payments: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOV-03-2015 00:57 From: To:9042475845 Pa9e:4/4
PLUMBING ERMIT APPLICATION
CITY OF TLANTIC BEACH
800 Seminole d Atlantic Beach, FL 32233 616(iYPefraff-44-
U 1 Ph (904) 247-5 26 Fax (904) 247-5845 IS- 9471 'R, °9(,i pQ
,SOB ADDRESS: t \ l \L \Ana PERMIT# I`
5 -PLESG-z59 t
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 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 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
VIISC.E.LLANEO US:
Sewer Replacement Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads C: Well *
'* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection,**
Other
'emit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.t hereby certify that I have read
Us application and know the same to he true and correct. All provisiors of laws and ordinances governing this work will be complied with whether specified
r 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
'o. Address: 542435 US Hwy 1 City Callahan State FL Zip 32011
.iccnse Holder(Print): CHRISTOPHER S ASHLEY--; - `•-State Certification/Registration# CFC057804_•~
Jotarized Signature of License Holder �r
r,•' 'r"' Nathan P.Tucker = ;� :,.� : A/ -��-
= Cornnvssion 152435 Sworn and subseari -ed='before me da off'
:Expires:AUG 19,Z01$ A� !"
T .' BC$DCDTRt�1 Signature of Notar.4_Publia. ��
4 . � t O i F'L61iiOA NarAttty 6W - �• l