393 Ahern StreetCITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: ~t7 ~ ~- (lP~n ~"~` ,
OWNER OF PROPERTY:
PLUMBING CONTRACTOR: 1)arle~'G Plnmhing Tn~_
CONTRACTOR'S ADDRESS: 3552 St. AuQUStine Road. Jax FL 32207
STATE LICENSE NUMBER: CFC056702 TELEPHONE: 448-2040
HOW MA~?Y OF THE FOLLOWING FIXTURES INSTALLED
SINKS
LAVATORIES
BATH TUBS
URINALS
CLOSETS
FLOOR DRAINS
OTHER
SHOWERS
WATER HEATERS
~_DISHWASHERS
DISPOSALS
WASHING MACHINES
SHOWER PANS
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE _ $25.00
SIGNATURE OF OWNER:
SIGNATURE
OF
CONTRACTOR: /~
I" f~
~,t,C-U
---------- --- -------------- --------- -----------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
_ __ __ __ _
I
DEPARTMENT OF BUILDIN+:i
CITY OF ATLANTIC BEACH
_.-_,_ 1:~ERMIT IN~'~JRMA.TIC?N -~--_,__ _-_
___W. LC?c_ATIf~N INgtJFtMATiON ---.. i
T'"~*T12, t ~IuTizb?~' ; ~.~~49 ~I~~r~~~ ; ~9~ AHERI~i STREET
1?~~~~~~ T~pe:FL[JMBIN~ ATLAN'TiC BEA~`N, ~'IabFeIDA 3~?~? i
`~la~~ ~f Wark:ALTI~RATT+~~T ~ _..______.~ LEGAL DESCRIPTIC?I+t --
~:'~ns~r, ~'yp~:~dnOD F'}~153~iE _e--r_._~_
TwP: n
~'`rap~~ed [1~~;SINGLE F'AlhiL~ Birac~: Lc~t; ,
S~ctian; ~ Subc~; Rng: r
I<~~l l zr~a~ ; ~ s~bdiv~ win:
Etta V~3u~~ n,~~
wrt~~ c~v ~'3~t A ~~~~ ~,~ ~
T~*.~1 F~s~~: ~5.t~~
Arr~aun~ Paid: ~~ pn
Cats I?'~i~' 1/2!.199
~'!~~~?~ ~t~~~: REi'LACE DI H~TASJf~EF'
_. w _ w .. _ _ »' ~;NER I I+iF(?RM_AT I ON -
_..____ .. --______ .A.PFLICATIGN FEES-
~'~r~Tt+~: L`C'idiVA PASS PEI'T ___-~~~-_.,...
:~~~~ ; ''39:3 AHERN STREET ~ `5 ~ ~fis
AT~A}~iTlf~ ~EAC~i . FLCFiDA 3223~~
~'h~~n~ [ '?Q4) ~~4u~ 20~
f
_ _ _ _, _ _ '=~NTRF Cm~ ~R ~ N~CI~MAT I OId - - _ _ _ _
~I~me: L~ARI;,~~I'S PL[JM$iN~3 iN~"
<~id~ir; 3552 ,CT. AU(.;I,JSTiI+1E R~~~
~TA~KSt~I~'~,?YLt,E. I~`L ~22p7
NOTES:
NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDFNG MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, ANO MUST BE I
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER`
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
i
ISSUED ACCORDING TO gppROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OFAPPLICABLE PROVISIONS OF LAW.
~ f ~ jR. ~~ 'fir.' r. ~~ s
i~a t}t,.
t~~~'~
ATLANTIC EACH BUILDING DEPARTMENT ks~la~l~:'~'i"{--y+~~;l
~`
By: ~' ~ 'r
-_ _..y__~ ~.,_... ..v,. ~- ._ .,.., _
1