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549 VIKINGS LN PLRS21-0033 PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER • PLRS21-0033 CITY OF ATLANTIC BEACH Or ISSUED: 2/25/2021 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 EXPIRES: 8/24/2021 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 549 VIKINGS LN PLUMBING RESIDENTIAL PARTIAL SEWER, AND 7 $3500.00 FIXTURES TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: I NUMBER: GROUP: 170703 0250 SEASPRAY • COMPANY: ADDRESS: CITY: STATE: I ZIP: TDG PLUMBING 4426 LOYS DR JACKSONVILLE FL 32246 OWNER: ADDRESS: CITY: STATE: '. ZIP: MORTON SARAH 549 VIKINGS LN ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. I DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 8 $56.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$115.00 Issued Date:2/25/2021 1 of 2 **ALL INFORMATION t.::;� Plumbing Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. "frif, 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Buildin -Det coab.us i o-oo r / ((�� / 1? p � PERMIT#:RCSA oZ ,� JOB ADDRESS: 6-t-i "j V 1� C r c L r` PROJECT VALUE $_ 3 )CD ) ©: ❑NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub t Septic Tank& Pit Clothes Washer Shower 1. Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Z. Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory 3.______ Water Heater Other Fixtures Water Treating System ❑MISCELLANEOUS ❑ Sewer Replacement • ❑ Back Flow Preventer ❑ Lawn Sprinkler System (number of sprinkler heads) ❑Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Well **SJRWD``Well Completion Form.Completed form to be submittec4,te-th Building Department for final inspection.** ❑ Other 9�le-T:�L se.'Seco. fi t-fiG{t k Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have 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. Owner Name: Wl ot`- o n &iN CZ-EVA Phone Number: Plumbing CompanyTT Cv ` . .-4 k nc Office Phone: 4-14S-7/1(4k Fax $5'(,(-I $S 5 Co. Address: LA k2.\o L,01 ci)a— City: 19-f- State:FL Zip: 322.M 1 License Holder:7Lt_Av " ,p„iNel Stat Certification/Registration # CcC- (t{2'TO(,z. Notarized Signature of License Holder `� CC�� ^ The foregoi • strumenwt w�acknowledged before me this �d f i� .I , 2024 in the State of Florida, County of U 1'q\ 111111 Signature of Notary Pub • a_ f-' TONIGINDLESPERGER personally Known OR [ ] Produced Identification / ,,,;..14,,,,,• nMY COMMISSION#GG 353176 Type of Identification: _ . • .rteo`•; EXPIRES:October 6,2023 '1,,�F F,`iP. B• onded Thru Notary Public Underwriters Updated 10/17/18