2109 FLEET LANDING - PLUMBING ,` r J J�
�� Apr: I A CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
2-' ill. r�
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: 16-PLBG-1956
Job Type: PLUMBING ONLY
Description: PLUMBING - 2 FIXTURES
Estimated Value:
Issue Date: 8/29/2016
Expiration Date: 2/25/2017
PROPERTY ADDRESS:
Address: 2109 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: 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 $14.00
Trade Permit Base Fee $55.00
Total Payments: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
AUG-26-2016 23:16 From: To:9042475845 Pa9e:4'6
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
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C� iota Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: ?)Q I Fiel PERMIT# I (0- P G - I q SG( 9
f (e z4- Uri(..
NEW OR REPLACEMENT INSTALLATION: Project Value$
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
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 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement O Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
O Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ 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 certify that I have read
this application and know the same to be true and cermet. All provisions of laws and ordinances governing this work will be complied with whether specified
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 Fleet Landin: Phone Number 904-246-9900
Plumbing Company A • • ' 1 • : i • ' • N • C. Otlice-Pfione 904-393-7959!Fax904-399-0552
Co. Address: 542435 US Hwy 1 City Callahan State FL Zip 32011
License Holder(Print): CHRISTOkIdEtt S_:ASHLEY State Certification/Registration# CFC057804_
Notarized Signature of License Ho101::••-:-. . . _,
��e Nathan P. '1'l�dter S rn•c3Ml' it�`5cri before m this ay of d 2041'
=a` =:Comms siem#FF15243S Sigtiatur oe f No Public
:y7y1�t� ' 'Expires:AUG l9,2010 „.. ,
li `•:E B6NCC0! j