2000 FLEET LANDING BLVD #2108 - PLUMBING 1`
CITY OF ATLANTIC BEACH
= T 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: 16-PLBG-906
Job Type: PLUMBING ONLY
Description: PLUMBING - ONE FIXTURE
Estimated Value:
Issue Date: 4/19/2016
Expiration Date: 10/16/2016 114 z t
PROPERTY ADDRESS:
Address: 2000 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 $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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APR-19-2016 03:51 From: To:9042475845 Page: 1/2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 \ Co —P L PAC 9 v�
JOB ADDRESS: I 0 g N.e,\--11/.kivk 1a roa PERMIT#
'JEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan I
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
t.E-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:
3 Sewer Replacement O Back Flow Preventer C] Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
7 Lawn Sprinkler System-Number of Heads u Well **
:* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Other
'crmit bccomcs 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
us application and know the same to he true and correct- All provisions oflaws 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.
'roperty Owners Name Fleet Landin_ Phone Number 994-246940
'lumbing Company A, • • _, _ • : '�. i . _ • ' • 1 • C. Office Phone b4-393-7959_Fax904-399-0552
�o. Address: 542435 US Ilwv 1 _ City Callahan State FL Zip 32011
,icense Holder (Print): CHRISTOPHER S ASHLE� State Certification/Registration # CFC057804__
' Jotarized Signature of License Holder � _
9 Fi _Nathan P. 7Ldter Sworn and stubb tribe&lido'' l i i1
.Commission it FF152
k Expires:AUG 19,2018 Signature of Nefary 'ublie ems.-%_ �1
�i,°'p��,o eowoao 71111 �'
,,,,,,,,,,, I!T FLORIDA NorAw,LLD "'"' •