Permit 418 Skate Road CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
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Application Number . . . . . 10-00000491 Date 4/22/10
Property Address . . . . . . 418 SKATE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6 fixtures
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Owner Contractor
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ONDREJICKA B & G PLUMBING
418 SKATE ROAD 2232 CORPORATE SQUARE BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 223-3585
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 97 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/19/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97 . 00 97 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 97 . 00 97 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAC" ORDSNANCES AND Tff E FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
F
Date: q-uL-to
Property Address: Ali __S �-_.4-e_
V
Owner:7Z3Z,�f3 ti A (-Q Telephone#: -Z,
Contractor: Telephone 9: 21,-L3-3 's if
Contractor Address: 'Fax#:.�31ILk- Z-0-CA-e
-2-A t 12—k.
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
a' New list the building permit number:
u Re-Pipe
Number of Fixtures:
Bath Tubs Showers.
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee:
Total Fixtures: X $7.00 + $35.00
800 Seminole Road-Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800- Fax: (904) 247-5845- http://www.cl.atiantic-beach.fl.us