1 FLEET LANDING - PLUMBING f:St , CITY OF ATLANTIC BEACH
ra A *) 800 SEMINOLE ROAD
J•� • 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: 17-PLBG-2920
Job Type: PLUMBING ONLY
Description: 5117 POLARIS - 2 shower pans
Estimated Value:
Issue Date: 1/5/2017
Expiration Date: 8/2/2017
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD
RE Number: 169397-0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE RETIREMENT FOUNDATION
INC
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING
BOULEVARD
GENERAL CONTRACTOR INFORMATION:
Name: IDEAL CONDITIONS PLUMBING
David Cliff Snell, CFC1429419
Address: 5971 POWERS AVE 5
Phone: - -
FEES:
Plumbing Fixtures $14.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
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
CODES.CO S.
,f r \i`1 f1 J\
�� CITY OF ATLANTIC BEACH
is f 800 SEMINOLE ROAD
N" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�--_.21>
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-PLBG-1728
Job Type: PLUMBING ONLY
Description: replace water heater
Estimated Value: $2,450.00
Issue Date: 8/1/2016
Expiration Date: 1/28/2017
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD
RE Number: 169397-0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BOULEVARD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE QA DAVID FRED GRAY
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: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING C(N)IS.
Mar 08 10 12:54p Information SystemsC(iY 0 904-247-5845 p.1
PLUMBING RING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904) 247-5526 Fax(904)247-5845 ( b —91—eel— ('1-2•$
JOB ADDRESS:
It €i' L.AkJI�.I,JC, �.�i/ 1 PERIArr# —
NEW OR REPLACEMENT'INSTALLATION: Project Value$ f •
TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY
BathtubSeptic Tank&Pit •
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink •
Floor Sink Toilet
Hose Bibs 13rinal
•
Kitchen Sink Vacuum Brealcers
Laundry Tray Water Connected Appliances
LavoWater Heater
'Other' Water Treating System
RE-PIPE
PIPE OF FIXTURE Q77 TYPE OF FI (TRE QTY
Bathtub Septic Tank&Pit
Clothes WasherShower
DishwasherShower Pan
Drink inc Fountain - __ Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs J ma'
Kitchen Sink Vacuum Breaker
Laundry Tray. Water Connected Appliances
Lavatory . Water Heater
Other Fixtures
Water Treating System
NESCELLANEOUS: utr 3 sets of pians)
o Sewer Replacement 0 Bach:Flo.v Preventer o Grease Interceptor(Trap) gallons(Re9
0 Latin Sptinkler System 1 umber ofHeads O Well **
t* SJAPV 1 Well Completion Form. ompleten' form to be submitted to the Building Department for final inspection.**
. F e.(Pa- Ltd - J1 De.__.
Permit becomes void if work does not commence within a.Sin month period or work is suspended or abandoned for
will complied six months.t hereby
=tit/that I whether s have
this zpplicaeion and know the same to be true and correct. All provisions of laws and ordinances go camg
or 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 Phone Number
Flti»bing Companyav Gr Plumbing, Inc. Office Phone 717)-5---43-. Fa-.,,- - '
Co. 8850 is orporaite Square Court Staff; Zip
CoAddress: I_ L -.. . F. ..-:: ::_',..11.32:7".f, City
License Holder(Print): JD � &Py tate CertincatianfRegistratiom# e /,••7 o -2 ' `
Notarized Signature of License Hodder ' cwv`C, V •
Sworn and subs.,--zibeci before me tfi;S I 54' day of - (A�J 20
Signafre of Notary Public W01-- `
- est N44, Public State of Florida
:' Wendy Rayle
,4.1 My Commission FF 133678
'log,‘,ow Expires 06/17/2018