Permits 528 Aquatic Drive TIC BEACH
AN
MY OF All,�
X�, %1 9 SEMMOLF,ROAD
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BEACI-L FLoRIDA 32233
ATLANTIC
ON pHONF
INSPECT1 LINE 247-5826
Application Number 03-00026308 Date 6/16/03
528 AQUATIC DR
Property Address REPLACE SHOWER
Tenant nbr, name PLUMBING- ONLY
Application description TO BE UPDATED
Property zoning 0
Application valuation contractor
owner ----------- INC-
-------- RA-PID DISPATCH SERVICES,
BF-ARD, J. 2071-23 EMERSON STREET
528 AQUATIC DRIVE FL 32233 jACKSONVILLE FL 32207
ATLANTIC BEACH (904) 398-2550 ------------
----------------------------------------------------------------
Permit PLUMBING PERMIT .00
Additional desc 42 - 00 Plan Check Fee 0
Permit Fee Valuation
Issue Date Paid Credited Due
Fee summary Charged ---------- ---------- -- -------
----------------- --- ------ 42 . 00 .00 . 00
Permit Fee Total 42 .00 .00 . 00 .00
plan Check Total .00 . 00 .00
Grand Total 42 . 00 42 . 00
BUILDING MATERIAL.RU13BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
CONTRACTOR OR OWNER. FAILURE To COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
Up AND HAULED AWAY By EITHER IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
y OWNER pAyING TWICE FOR BUILDING
RESULT IN THE PROPERT PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
WHICH ARE PART OF THIS
BUILDING OFFIUIAL
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: S�p
OWNER OF PROPERTY:
TEL. o?, ,7J-
PLUMBING CONTRACTOR: c
CONTRACTOR'S ADDRESS: c>20
STATE LICENSE NUMBER:
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS / SHOWERS
AVATORY -WATER HEATERS
ATH TUBS -DISHWASHERS
URINALS -DISPOSALS
CLOSETS -WASHING MACHINE
LOOR DRAINS -SHOWERPANS
SEWER -WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES:- _X $7.00 +$35.00= Vd
MINIMUM PERMIT FEE: $35.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904)247-5826.