5702 VEGA CIR - PLUMBING rrL`l,/�3
`-\fit, CITY OF ATLANTIC BEACH
-, J 800 SEMINOLE ROAD
jATLANTIC 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-1953
Job Type: PLUMBING ONLY
Description: PLUMBING - 3 FIXTURES
Estimated Value:
Issue Date: 8/29/2016
Expiration Date: 2/25/2017
PROPERTY ADDRESS:
Address: 5702 VEGA CIR
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: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AUC-26-2016 23:16 From: To:9042475845 Page:2/6
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 47-5826 Fax (904) 247-5845 ' �` n q
JOB ADDRESS:5 r Vekc2 CrG�11PERMIT# C' 1� ` 1 B3
I
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OP FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan Al=7
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 X Vacuum Breakers
Laundry Tray Water Connected Appliances )4 '
Lavatory Water Heater
Other Fixtures Water Treating System
4ISCELLANEOUS:
J Sewer Replacement 0 Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
3 Lawn Sprinkler System-Number of Heads ❑ Well **
°*SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
J 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 ccrtify that I have read
lis application and know the same to be truc and correct. All provisions of laws and ordinances governing this work will he 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 LandingPhone Number 904-246-9900
'lumbing Company ASHLEY PLUMBINO COMPANY R4C. Office Phone 904:393-7959`Fax904-399-0552
:o. Address: 542435 US Hwy 1 City Callahan State FL Zip 32011
.icense Holder(Print): CHRTSTOPHEB,S-4'S1 t;EY State Certification/Registration# CFC057804_
_ v` .
Notarized Signature of License Holder -. •'' r _
?$` �!" ,=.NNathaton P. 52 Sword-ann.d su n$ed b �fpre me thi .- /b
Expres:AUG 19,2019 Signature of NotitryAubli,c -
9Awoco Twau
•a.,,,,..• I.,F�04tOA NOTARY,um .`