1000 FLEET LANDING - SHOWER PAN i' j
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si\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
3 7=1 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-1660
Job Type: PLUMBING ONLY
Description: install (1) new shower pan
Estimated Value:
Issue Date: 7/22/2016
Expiration Date: 1/18/2017
PROPERTY ADDRESS:
Address: 1000 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: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JUL-22-2016 21:41 From: To:19042475845 Pa9e:2'2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
F,.,1e€4- 6aP�/2---
(990b V 04) 244 -/5826 Fax (904)247-5845
fOB ADDRESS: f CJ t v - t �Gvn PERMIT#
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JEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan _l_____
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
tE-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
VIISCELLANEOUS:
3 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
i Lawn Sprinkler System-Number of Heads 0 Well **
°* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
3 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 ccrtify 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 be complied with whether specified
ar 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 904-246-9900
31umbing Company A ' ' 2 v : '' • . ` ' C. Office - 3-7959_Fax904-399-0552
:;o. Address: 542435 US Hwy 1 City Callahan State FL Zip 32011
License Holder(Print): CHRISTOPHER S AS Y State Certification/Registration# Cr'C057804_
Votarized Signature of License Holder
igii"%, Nathan P.Tucker Sworn and subscribed before 's o? of vl y zed,
435
1E res:AUG 42018 Signature of Notary Public - l_'J
7�,OR'.,Pa ahoea 11
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