2307 FLEET LANDING BLVD - PLUMBING S rL�Jr
s A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
T3V X 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: 16-PLBG-487
Job Type: PLUMBING ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 2/26/2016
Expiration Date: 8/24/2016
PROPERTY ADDRESS:
Address: 2307 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
State PLMG DCA Surcharge $2.00
State PLMG DBPR Surcharge $2.00
Plumbing Fixtures $14.00
Total Payments: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FEB-26-2016 06:09 From: To: 19042475845 Page:313
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 I L,L fJft1a_ '-(�c
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: e23 o PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer I 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
MISCELLANEOUS:
• Sewer Replacement Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads ❑ Well
k* £IRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
• Other
,ermit 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
his application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he complied with whether specified
)r not. The permit docs not give authority to violate the provisions oI'any other state or local law regulation construction or the performance of construction.
Property Owners Name nfse.)` Lund I C19 Phone Number 470 -a kL -Koo
Plumbing Company f t.)1\{,y f? toi r\1 arhpany Znc . Office Phone .) -39 - s Fax 9$f'-3 -�'-SSA.
co. Address: 542 ! 35 US F}Lc�+� City (,Q))21 f _ State F-Zip .320 I
License Holder(Print): Chris f)--)ec k State Certification/Registration # 057 fib 1
Votarized Signature of License Holder
ro^�"`\ KELSEY R STROBLE 7
Sworn and subscribed before me this • day of
i•, t MY COMMISSION#pF172428 /.
`' s1 EXPIRES October ze^2018 Suture of Notary Public
n •► /1�. r