BRISTA DEL MAR 1865 CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address: �� �� 5_
Owner: G �y� i �- Telephone #:
Contractor: -� l� �� �'' Telephone #:
Contractor Address: /00/ i2f� �� S^�� ��' Fax#:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
❑ New list the building permit number:
❑ Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters ,
Other 5'0 A)71 t.J
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X $7.00 + $35.00=
800 Seminole Road . Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.cl.atiantic-beach.fl.us
CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028083 Date 4/12/04
Property Address . . . . . . 1965 BRISTA DE MAR CIR
Tenant nbr, name . . . . . . INSTALL 2 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
--------- ------- -------- -------- -------- --------
MCGUFFIN STEEG PLUMBING
1601 MAIN ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191 (904) 249-5191
---------------------------------------- ------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 49-:00-' ,~ Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 49 . 00 49 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 49 . 00 49 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
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BUILDING OFFICIAL