Permit Plbg 537 Viking Lane 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001242 Date 10/13/10
Property Address . . . . . . 537 VIKINGS LN
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
2 fixtures
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Owner Contractor
------------------------ ------------------------
WARREN AMELIA PLUMBING
537 VIKING LANE 2232 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 821-8355
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/11/11
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 69 . 00 69 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 73 . 00 73 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
10/13/2010 08:19 9042235365 PAGE 01/01
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC IREACH
800 Seminole Rd Atlantic 8each, FL 32233
Ph(904) 247-5926 Fax (904)247-5845
013 ADDRESS:
EW OR REPLACEMENT INSTALLATION: Project Value s
Typ�r- ok Furup-E QTY TYP_x,oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Driaking,Fountain
Floor Drain Tluopee'itnpaitrnent Sink
T�Ioor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
TYPE or FrxruRE QTY TYTE OF FUTURE 4A ory
Bathtub Septir,Tank&Pit
Clothes Washer Shower
.Dishwasher Shower Pan
Drinkin's,Fountain Slop Sink
Floor Drau'a Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
TK'itchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating Systera
4ISCELLANEOUS;
Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads 0 Well
SJR WD Well Complerion Form. Completed fom-i to be submitted to tFe—Building;Department for final ix-xspection.
Other
ermit becomes void if work does not commence within a,six month period or woTk is suspended or abandoned for six months.I heoroemb,�'y�certifyrtih,'aoijf�h!�a,7,re'a'd?
ii�application and know the same to be true and correct. All provisions of laws and ordinances governing this work,.V.:Il be complicd with whe�er specified
r not. The pemil doesnot give aut�orfty to violate the provisions of any othcr staic or local law rogulation coristruction or the porformArce ofconstruction.
'roperty Owners Name- AlAt4 0J,"_ PhoneNumber
t 4 — 11-7.,
'twlibing Company Nwt_&�1! d "4
C� mg;�� --Office Phan e
'o. Address: 9,h J C1 Stt,' jrl
— i —zip
tder (Prill t): -Stat ificatiol-Aegistration 4�FU51 k4 1.
if
MicliELLE L.WALD
4., Commission DD688wvo and subscribed before me this '?-) day of �:Fl
20 IQ)
Expires Jwe 25,2011,
r4p $OMO�o That I k1wTp1��4WkM,e*Ag Ure of Notary Publ�c