Permit 511 Selva Lakes Circle CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
j fj INSPECTION PHONE LINE 247-5826
JD9
Application Number . . . . .
Property Address 10-00000404 Date 4/07/10
. . . . . . 511 SELVA LAKES CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . .
---------------------------------------------0
Application desc -------------------------------
12 FIXTURE
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Owner
Contractor
LUNDQUIST, RAY&PAT ------------------------
511 SELVA LAKES CIRCLE ADVANTAGE PLUMBING
ATLANTIC BEACH FL 32233 941 S 11TH AVE
JAX BEACH FL 32250
(904) 247-9848
Permit . . . . . PLUMBING PERMIT ----------------------------------
Additional desc . .
Permit Fee . . . . 139 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . . 00
Expiration Date . . 10/04/10 0
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Fee-summary------ Charged Paid Credited Due
--- ------- ------- ---------- ---------- ----------
Permit Fee Total 139 . 00 139 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 139 . 00 139 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMIRING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
JOB ADDRESS: 4.1 Ph(904)247-5826 Fax (904)247-5845
NEW OR REPLACEMENT INSTALLATION: PERNUT#-------------
TYPE oF FwTuRE QTY Project Value$----------
Bathtub TYPE OF FmTURE QTY
Clothes Washer Septic Tank&pit
Dishwasher Shower
Drinking Fountain Shower pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink Urinal
Laundry Tray Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
RE-PIPE: Water Treating System
TYPE OF FwTURE
Bathtub QTY TYPE OF RWTURE QTY
Clothes Washer Septic Tank&pit
Dishwasher Shower
Drinking Fountain --- Shower Pan
Floor Drain Slop Sink
Floor Sink Three Compartment Sink
Hose Bibs Toilet
Kitchen Sink
Laundry Tray Urinal
Lavatory Vacuum Breakers
Water Connected Appliances
Other Fixtures Water Heater
MISCELLANEOUS: Water Treating System
• Sewer Replacement 0 Back Flow Preventer EJ Grease Interceptor(Trap) gall "'z
• Lawn Sprinkler SYStem-Number of Heads 11 Well Ons(Requires 3 sets of plan,)
**SYR WD Well COMPletion Form. Complete&f—orm to be submitted to
El Other Ee—Building Department for final inspection.**
lermit becomes void if work_dOes not commence within a sLx month period or
his application and know the same to be true and correct work is suspended or abandoned for SM months.I hereb
_ All Provisions of laws and ordin y certify that i have read
�r not. The permit does not give authority to violate tlxe provisi ances governing this work will be complied with whether specified
'rOPerty Owners Name ons Of any other state or local law regulation construction or the Performance of construction.
'lumbing Company Phone Number
—Office Phone
'o.Address: Fax_2?Y2�,q�
Jeense Hold City—\Z State 4 zip
er(Print): State cell ation/Registration#ZITCr
ed Signature of License o er
SHIRLEY L G
M 0 Swon-i and
"COMMISSION D 957 6 bsc ed b r e d of
EXPIRES:Febru 14,2 1 20
.7 Bonded Thru Notary PU 110 U or$ Signature of Notary Publi