586 VIKINGS LN PLBG PERMIT ,•
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00001079 Date 7/07/14
Property Address . . . . . . 586 VIKINGS LN
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL WATER HEATER
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Owner Contractor
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JAMES, WARREN W BLUE WATER HOMES INC
586 VIKINGS LANE 29 OLD KINGS RD N STE 1-B
ATLANTIC BEACH FL 32233 PALM COAST FL 32137
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/03/15
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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 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 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 AIS RESS:9HU V lk11 LA�'J -mm'3T 1 gE 33 PERMrr#
NEW Olt REPLACEMENT INSTALLATION: Project Values 2S Le Oct
TYPE OF FIXTURE QTY TYPE OF FIXTURE QT'
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
ItE-P1PE:
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
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISC LLANEOUS:
Sew Replacement �: Back Flow Preventer Grease interceptor(Trap) gallons(Requires 3 sets of plans)
La Sprinkler System-Number of Steads Well **
* SIR ID Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
1 Othe
Permit be omes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that 1 have read
this application and know the same to be true and correct. All provisions of laws mid ordinances governing this work will be complied with whether specified
or not. -11 ie permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
S to 1 i Q 1� Q Phone NumberQ�d-
PropertyOwners Narnei_�3 �,
Plumb'rig Company22 OLb Y1WaS MORN INWTE IR ffice Phone�3� ax
Co. A ress: __ City cAll'Yl CDAST State FL- Zip
Licens Holder(Prt . __ State Certification/Registration#
Notarized Signature of License Holder
Swam and subscribed fo a th' �" t-/"` 20/
Signature of Notary Public