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Permit 799 Atlantic Boulevard CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5$26 Application Number 03-00027002 Date 10/01/03 Property Address 1099 ATLANTIC BLVD Tenant nbr, name SERVICE FROM EXIST METER Application description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor VALUE PAWN ASAP PLUMBING CO. 1099 ATLANTIC BLVD. P.O. BOX 16631 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 247-7772 (904) 993-3433 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 42.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 42.00 Plan Check Total .00 Grand Total 42.00 Paid Credited Due ---------- ---------- ---------- 42.00 .00 .00 .00 .00 .00 42.00 .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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 'JOB LOCATION: OWNER OF PROPERTY: j~ii ~.. p //~1a._,.n. TEL. L ~~ ~ ,7,~2 PLUMBING CONTRACTOR: ~ ~~ S~~ ~ ~l %~~/~/ CONTRACTOR'S ADDRESS: /~ ~ ~/Jk' ~/~C1 7J ~,~x ~~ ~Z_ ~ %~ STATE LICENSE NUMBER: ~ ~~ C' _S 6 G_ ~y TEL.~~~,~~ HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY ~ WATER HEATERS BATH TUBS URINALS CLOSETS FLOOR DRAINS SEWER DISHWASHERS YDISPOSALS WASHING MACHINE SHOWER PANS WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER / ' /'v ~ ,b'.,v~.uwc.c_ i.:~.c.~- ~~;cz. .~Y~ TG ,j/t /L, ,q G~Ti UW y ~~ TOTAL FIXTURES: X $7.00 + $35.00= bBNIMUM PERMIT FEE: $35.00 SIGNATURE OF O 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) 247-582b.