5304 FLEET LANDING BLVD - PLUMBING f � CITY OF ATLANTIC BEACH
fr 800 SEMINOLE ROAD
r 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-1954
Job Type: PLUMBING ONLY
Description: PLUMBING - 4 FIXTURES
Estimated Value:
Issue Date: 8/29/2016
Expiration Date:: 2/25/2017
PROPERTY ADDRESS:
Address: 5304 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
, CFC057804
Address: 542435 US Hwy 1
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WI'l II ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AUCs-26-2016 23:16 From: To:9042475845 Pase:3'6
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904)247-5845 1 (_PL 6C_ 19
JOB ADDRESS: 5309 ' 1!;, d • 0104 PERMIT#
ice• C
NEW OR REPLACEMENT INSTALLATION: Project Value$
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
LavatoryWater Heater
Other Fixtures Water Treating System
RE-PIPE:
„...)A1
TYPE OF FIXTURE QTY TYPE'OFFIXTURE 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:
7 Sewer Replacement 0 Back Flow Preventer o Grease Interceptor(Trap)_ gallons(Requires 3 sets of plans)
3 Lawn Sprinkler System-Number of Heads 0 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.I hereby certify that I have read
its 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
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 Landin Phone Number 904-246-9900
Plumbing Company ASHLEYPtIIMBING COMPANY-NC. Office Phone 914793-7959 Fax904-399-0552
'o. Address; 542435 US Hwy 1 City Callahan State FL Zip 32011
.icense Holder(Print): CHRISTOPHER S ASHLEY State Certification/Registration#CFC057804_
lotarized Signature of License Holder ; ' --
4:01k„ Nathan TuckerSwb it and,njb.�c>?ibec before i a s s �a.�
_, Fomites:AUG t@ 2435 Signfrture•eI~Immary Public / ��� / c, �`�
•. BONOLO D.TH a,.- — ti •