Permit Plbg 598 Viking Ln 2012 v' a x CITY OF ATLANTIC BEACH
M 800 SEMINOLE ROAD
J _ . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
r f31.9
Application Number 12- 00000922 Date 7/20/12
Property Address 598 VIKINGS LN
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
5 FIXTURES
Owner Contractor
NEVILLE PATRICK J B & G PLUMBING
598 VIKINGS LANE 2232 CORPORATE SQUARE BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 223 -3585
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/16/13
Other Fees STATE PLBG DCA SURCHARGE 2.00
STATE PLBG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH _
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 6 9 8 V i K t N 4s LA.-le PERMIT #/92— 9
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher __1__ Shower Pan ___L—
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet __I—_
Hose Bibs Urinal
Kitchen Sink _I_ Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory J - _ Water Heater
Other Fixtures Water Treating System
RE -PIPE:
TYPE OF FIXTURE OTY TYPE OF FIXTURE OTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures . Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System - Number of Heads ❑ 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 suspenlled or abandoned for six months. I hereby certify that I haye 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.
Property Owners Name PR T. 6 K LL I N e V I LL E Phone Number
Plumbing Company (,a.G PLuM Co Office Phone ,U.3 Fax .223 - 37So
Co. Address: .2431 eo¢PoLAr€ sci 8 LvA . City TAeKso NVte.hf State FL Zip 3.2.1
License Holder (Print): G E, E C - Rai - State Certification/Registration # G t cd 22S9 3
Notarized Signature of Licerase Holder ( a.' 41.,01.)-tt.k
,4 r, S. NOQbMlil wont . subscribed before . , v.s O , • ay of �L._, 2��
Notary NNW - of AWN �( VI " a. "Wes Marto, "te ignature of Notary Public / 1 4 - • ,i 4
s >.: COMMISIba +! EE 1701157
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