3102 Fleet Landing Blvd plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, Fl,32233
INSPECTION PHONE LINE 247-5814
PLUMBING COMMERCIAL OR MULTIFAMILY SEPARATE PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLBG17-0004
Description: BLDG 3000, UNIT 3102 -WASHER&SHOWER PAN
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BV
RE Number: 1693970200
PROPERTYOWNER:
Name; NAVAL CONTINUING CARE RETIREMENT FOUNDATION INC
Address: I FLEET LANDING BLVD
ATLANTIC BEACH, FL 32233-4599
GENERAL CONTRACTOR INFORMATION:
Name:
Addressi
Phone:
Name: IDEAL CONDITIONS PLUMBING
Address: 5971 POWERS AVE 5 5971-5 POWERS AVE
JACKSONVILLE, FL 32217
Phone:
PERMITINFORMATION:
Please see aftached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Athintic Beach, FL 32233 T-) L-2)G177-000'q-
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: I Qee�- I-a'J"CIS4 f-)IVS PERMTT#l'7QM4/
I
NEW OR RETILACEMENTINSTNULATtON: Project Value$
TypFoFFfxTuRE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Ytoor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Ti ay Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water I reating System
RE-PIPE:
TYPE OF FLxTLkE Qrr TYPE OF rfXTVRE Qry
Bathtub Septic I ank& Pit
Clothes Washer Shower
Dishwasher Sho"er Pint
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Larandry Tray Water Cormoctcd.Applianea�s
lavalon Water Heater
Other Hxtures Water Freating System
MISCELLANEOUS:
- Seaver Replacement :: Back Flow Preaventer Greasse Interceptor(Trap)_gallons(Requires 3 sets of plans)
Latart Sprinkler System-Number of Heads E: Well
NIRWI) WellComplelion horm. CompletWfornt lobe submitted tothe Building Department forfinall inspection."
Other
Point lx�'ames'o'd'f""k do"n'q"ontoeoce%%ithin a�j\ o,)o1h peri,id cir fia,ismoado,I h�,&,��Aiiy that I haAt..d
this application and to ts�toward�orrco, All powk�oo,ofl,ta,sod ord,�a.o, atwerntng thowrk will au�,arrqlxd ,th heditapecified
o,rird. Ile ernut doe,out j,c iolare the pravitions of any outer state or local law regulation ounstruction or the perforroattv of wratruttion.
Property Owners Name :vk C'011+'(1)LA% ()Q (OLfCl Phone Number
Plumbing Company T-Jeal 4,1120-2 Once Phone 3 F,, T9-3?4/0
Co. Address: A,j 0 r-5 C :�MCkb - IllState
-Lzip 3,U19
License Holder(Print): '0�w 4t�eCertification/Registration4gF�LD(,o�574
NotaritedSignature of License Holder( 1,4ZZIA�l
�or . d subseribe
�ETaccoEMINDLE 0 d elb c me 17 lf— 20
(c 01
ignature of Notary �':lic
B
Cash Register Receipt Receipt Number
'[A City of Atlantic Beach R1752
DESCRIPTION ACCOUNT
PermitTRAK $73.00
PLBG17-0004 Address: I FLEET LANDING 13V APN: 169397 0200 $73.00
PLUMBING $69.00
PLUMBING BASE FEE 455-01)DO-322-1000 0 $55.00
PLUMBING FWURES 455�01)1)0-322-1000 2 $14.00
STATE SURCHARGES $4.00
STATE )BPR SURCHARGE 455-0000-208-06M 0 $2.00
STATE DCA SURCHARGE $2.W
TOTAL FEES PAID BY RECEIPT: R1752 $73.00
Date Paid:Tuesday,June 13, 2017
Paid By: IDEAL CONDITIONS PLUMBING
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Tuesday,June 13,2017 9:28 AM I of i
CITY OF ATLANTIC BEACH
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