Permits 534 Aquatic Drive CITY OF ATLANTIC BEACH
APPLICATION FOR PLU14BXNG PERMIT
JOB LOCATION: :!�_3 Y A o Q v,� �- i c K k v c('
OWNER OF PROPERTY: P 0 %J w 1-n(A-," TELEPHONE NO. .047,0
PLUMBING CONTRACTOR DE) QpSl%*-' C(S^/--r,, /-I f-
CONTRACTOR' S ADDRESS: 314, 1` _!�T 'To ldc#,ij oc,pff— tf-.49,f 72917
STATE LICENSE NUMBER: (:lACp r6073o . TELEPHONE: ff 7-�Prt�)
HOW MkW OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS -WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES : x $3. 50 + $15 . 00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER: 00
SIGNATURE OF CONTRACTOR:
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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
CITY OF ATLANTIC BEACH
r)F:PA-D-rkjF=%m 01 11, n1KI(I
800 Seminole Road -Atlantic Beach, FL 32 33-��'!"
2 Tel: 247-5826 Fax: 247-5877
P L JINA B &1 1%A I T
"M .1 N15"
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.1%ddress: 534 AQUA�:i-J-C
i ype: PLUMBING LjNlvtz
ATLANTI'C' BEACH, FL 32233
Ciass of Work: ALTERATiON M
Township.- Mange.- ok-
Proposed Use: SINGLE FAMILY Lot(s): BloA: Section:
Square Feet-. A^i I -r
Subdivislorl: V A f-I r-%F—k 1 e%
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Est. Value: Parcel Number:
Improv. Cost:
OWMW
Date Issued: 10/18/2000
Name: FOUNTAIN
Total Fees: 50.00 Address: 534 AQUATIC DRIVE
Amount Paid: 50.00
A 0 1A 11/2000 ATLANTIC BEACH, FL 32233
Date Paid: / 10
Work Desc: REPI I Phone: (000)000-o000
50.00
FINAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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.
$58.0914
Date: 18/18/60 @1 Receipt: 0685012
CHECKS 188G
N109883221008