Permit 768 Beach Avenue CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: -7
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: 'A
STATE LICENSE NUMBER: TELEPHONE: Z2 9- (2 in
HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED
—SINKS SHOWERS
—LAVATORIES WATER HEATERS
—BATH TUBS DISHWASHERS
—URINALS DISPOSALS
—CLOSETS WASHING MACHINES
—FLOOR DRAINS SHOWER PANS
OTHER /7/d
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER: 0 0
-1 SIGNATURE OF CONTRACTOR: A
------------------ - --------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
PM3844
16127
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACR'
PER141T INFORMATION LOCATION INFORMATION --------
4,4rinit 1,6127 . Address : 768 BEACH, AVENUE
V' P'e'erm-i t.,Type*-'PLQ$BI,NG, ATLANTIC B -H , FLORIDA 32233
EAC
�1,"s k ALTERAT ION LEGAL DESCRIPTION ------
ot Vibr --------- ----
cons t r. -T�pe:WOOD FRAME Block: Lot,,: Twp,. 0
SINGLE FAMILY Section'. 0 Subd: Rng: 0
Dwellinags� 0 subdivision:
Est'. .Value: 0'.00
Improv, Cost ' 0.00
� Total Fe
25.00
t
Amoun 4446'
21,5.00
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NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NO SPAC
T BE'PLACED JN�PUBLIC IANDmusTaE�
�CLEARED UP AND HAuLEb AWAY BY EITHER CONTRACTOR OR OWNER
FAILURE TOC91VIPLY WITH THEMECHANICS 'LIEWILAW CANARFESULTIIIN '
T14E PROPLERTY.OWNEAPAYING TWICEf0h tUILDII' "SUE-"
JG;tMP,Rov,,,,, NTS,.'!
ISSUED ACCORDING TO APPROVEP� PLANS.WHICH ARE PART OF THIS PERMIT ANDSUSJECT TO,REVOOAT Nf
VIOLATION OF APPLICABLE PROVISIONS'Of LAW,
ATLANTIPk3EACH BUILDING DEPARTMENT
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