Permit 501 Atlantic Blvd SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
A TLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
'dj 19 INSPECTION EMAIL REQUEST:
Building-deptg,cpab.us
Application Number . . . . . 07-00000886 Date 6/21/07
Property Address . . . . . . 501 ATLANTIC BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 FIXTURE
----------------------------------------------------------------------------
Owner
Contractor
BEACHES DINER ------------------------
501 ATLANTIC BLVD, ROTO ROOTER-SERVICES CO
2028 W. 21ST ST.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209
(904) 354-7321
Permit . . . . . . PLUMBING PERMIT ----------------------------------
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee
Issue Date . . . . . 00
Expiration Date . . 12/18/07 Valuation . . . . 0
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
. 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Property Address: 14AI ty C�
Owner: Telephone R 64-%qct
2a1L.0
Contractor: Telephone 9:9to4_'A 8q
Contractor Address: Fax#: OVA-11S,�_
Contractor Signature:
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,
El New list the building permit number:
Ll Re-Pipe
1'�U�MberofFiitures�. ���
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler'System Other *See attached sheet see
Fees For Backflow and Irrigation procedures
Permit Issuing Fee: $35-00
Total Fixtures: X$7.00 + $35.00 Xknk CJ-)
800 Seminole Road -Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 - Fax: (904) 247-5845- http:/fWWw.cl.atiantic-beach.fl.us
Revised 9/06