599 VIKINGS LN PLRS22-0110 ,,,,,...A6,;--,,, PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACHPLRS22-0110
JISSUED: 8/2/2022
800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 1/29/2023
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
599 VIKINGS LN PLUMBING RESIDENTIAL PLUMBING - 4 FIXTURES $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0238 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
Snyder Co dba SNYDER
HEATING &AIR PO BOX 16826 JACKSONVILLE FL 32245
OWNER: i ADDRESS: CITY: STATE: ZIP:
RYAN AND LESYA BIGGAR 599 VIKING LANE ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If
YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 4 $28.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.90
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
Issued Date:8/2/2022 1 of 2
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Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247- 826 Email: Building-Dept@coab.us PERMIT#PL_Rszz-oC
JOB ADDRESS: S�1 1l �u'] (i\J P ��
PROJECT VALUE $ / c h�
❑NEW OR REPLACEMENT INSTALLATION and/or ORE-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 I
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 1. Water Heater
Other Fixtures Water Treatin System
❑MISCELLANEOUS
❑ Sewer Replacement
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
n Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
O 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 correct. 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.
Owner Named �'( � Phone Number:
Plumbing Company: J Alder ff C/g'C'ai-.t',Ai Office Phone: �C3� 61// O(.a ' Fax
Co. Address: '5 Yd i 5 gC, At✓d City: J State: - Zip: ?? Z/
License Holder: a/h 7 State Certification/Registration # CfC i4273 7
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Notarized Signature of License Holder j�
The foregoing instrument wa acknowledged before me this Z _ : of , C.,in the State of Florida,
County of 0V ,
Signature of Notary Pubhc__ -
TOt{{p , CA-
p�ESPERGER [ ] Personally Known OR [ ] Produced Identification
MY COMMISSION#GG 353178 Type of Identification:
EXPIRES:October 6,2023
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Updated 10/17/18
F;° Bended Thru Notary Public Underwriters