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Permit 1652 Coquina Pl 1i 12897 Of ��1 l OF 3 Tfc, a 4 -- LOCATION N �'Opmn I ON- -------- . F ' SAT ION y �* �y {� p � N� w AC' dres .LTf k3A FL V ' ATLANTIC UACH erl . .. FL LEG AL $3ClkTPTI ..,. .. . ms Trd:o Rn i 3� Prop osier; use Tot al 'e 25.00 tP 0iAn t , N41 '` I 410V ' .. 0 A," ACK BO PL- 32225 L3 N EXR 77 7-7 NMS: a t 'p N E-- ALL�� ;i�aR �b FAQ T tl�S MIJSt�,�� �QRE MUR I PER1t ' tGSfX MONTHS AFT R'DATE C7F iSUE t BUILp1T�f3 MA►'ERIAL„RU tSH ANCA O RIS PRAM THIS W©FtK MUST Ni)#'8E P tO ill.PUBLIC`SPACE,AND MUST BE ` C{ AFiEd U ANS HAULEt�AWAY BY,��tF#'EFt CG3NTR�CTtJR OR ENER K 'W CANe AMU- 114 Lu 'HAMIC'SUEN IA ME a OPE 000 P. iii�i,U,EQ A(,OOM G TO APPF tt Pi.ANS WIfHItH.ARB PAR`#'OF,.THiS PEAMr AtdC� s � , N C�Prd�PP1 AB�t,E.��t���OP LAW. i1 A #;A l tC "NUILG)iN t}EPAF1 1TI TENT " 4 lx Z � 1 V; CITY OF ALANTIC BRACH ` ROOTING PERKIT APPLICATION Owners) : e �.T (.A A r� Address:_ S Z e 0 uj r Phone: Lot # Block or Unit # Subdivision: Contractor: Ma hG 2 c r' Address: c. I J> ,-- City, State and Zip Jac \c sc State License # 1 2 c (-�C') (A-I 3`l C-\ Describe work to be performed: R ec-oC- 5�,: Valuation of Proposed Construction: 1 , C , c Materials to be used: Shy r,4\ ---r Ck- J. „ Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information Asa DEPARTMENT'OF BUIL.DINQ CITY OF ATLANTIC BEACH. ...: PE it T I NFO�T I O)I� -_— .,�_ LOCA ION' INFORMATION rmit NuI ► ?x;; ` > 16ddre� CO QUI I�LACE Pt TtP ,: UTILITIES LA TTIC BEACH FLOHI�T�A � I 'Work: NEW :..._�..»..---- LZOAL DESCRIPTION _�„_..�__. .. Lot ' '416 CQ3t r, I f A * ro ca s Cla�ee: UTILITY �'ow,- - .`�". FLNC�: � 1ii �Ic `. { lauAi 03tJtX i I t t!e V a. ue; $0, O10 CO3t: $O,10 $2015OL" Utes r, o 4 /94 ff-Q.rkL,6 5 ITY SEWER SYSTEM ,. ,...:.. - . TION _--- APPLICATION FEES __ _ . ii i' Ixl ' PERMIT" O . G J N " ,.. . PVT-"Ak o` Ai d>r`' PLACR, WAT'E�t IMPACT FEE �►�O?O) { I ;; `LQ1T AAB PA FES C .Op DRp%R T CAP ITAt IMPROVE.IT, .pfl, Addax "a SDfRR-,-TAP ._. A,p_ :0b0 -:001 . IffDRAULIC. SHARE $0.00 ".Li� x 01" 00 CHBS C3NIECTIaN kl SES H MPAGT Fes. � $0 . 3 rr � h ,a z 4 t NI NOTICE— AI.I.CONCRIIrTE FORMS AND FOOTINGS MU$T8E''!t4SPECTED BEFORE POPR1(x G PEFiMiT VOID SIX MONTHS AFTt R MATE OF ISSUE IIIkU11,6{NG riIATERIAL,RUBBISHAND D. BRI$FROM THIS WORK MUST NOTBE PLACED IN PUBLICSPADE,AND MUST BE CLLARQ UP AND HAULED AWAY"BY EIfiHERCONTF;ACT<5R OR OWNER, ILURE ,70 C40MPLVVITH THE MECH �1I TEN LAW CA,L RE�il�4T 11 ,- R t©P TI' QWNFR:PAYINf I 'BICE F $13U!'r � # #lfa IMPI t3 +f A 1 TS.''= "t1E{ JkC"AI�tQINO TCS AP(?RtVED.FLANS WHICH ARE PARS'IAF THIS RERMIfi ANIS SUBJECT TO REtOCATtCINfI 5 11�TIQIs.,OF A0PLlCASLE p-AOVIS#ONS OF LAW. A7 SIC CH BUILDlING PARTMENT W 1"60 st i tk a Olt f'4 01 Is i,+rd'. .. xa . .< <,. i •..�, r .A1 _ ,..t.vtud des/� ...-,m,.. _ ..._ VA C)� "q CITY OF t'�acrtic �e�ac� - ��vtid'a 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4381 r -- TELEPHONE(904)247-5834 FAX(904)247-5843 April 8, 1994 TO: Don C. Ford/Building Official FROM: Ernie Beadle/Assistant Public Works Director�¢ RE; FEES FOR 1652 COQUINA PLACE Please be advised that fees for the above referenced address are as follows: $600. 00 - Sewer Tap installed by Pace Utilities - (See attached Proposal/Estimate) Sewer Tap is already installed and owner was notified of amount and is aware these fees must be paid before connection is made by their plumber. I understand that a check was being sent to you for the above fees by the previous owner and that the new owner would only be responsible for approximately $50. 00 of the total cost. In addition, the septic tank must be abandoned and we trust you will follow up on this. Please contact me if you should need any further information. EB/tb attachment cc: Kim D. Leinbach/City Manager Jim Jarboe/Deputy City Manager Robert S. Kosoy/Director of Public Works FILE - STREET Page No. of Pages THE. PACE COMPANY g PROPOSAL AND i' 5� p. O. Box 51603 ACCEPTANCE Jacksonville Beach, FL 32240 PROPOSAL SUBMITTED TO PHONE DATE />' of .4r�A.vTi�'. 1?7ERG'N STREET JOB NAME �2a7 S.9,v�P�pEz L�-,v� CITY, STATE AND ZIP CODE JOB LOCATION _ �I ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: ,eE EX/sT�.�� /,4.4/VHO . 5 Rn/.c7 T/� /N (o„ 56�✓/G - LRrc`/RA _ / 7 SDR J _ ,80X . 3,geK/=/4 t-1 0ZAJ10Ae7_, AAID We Propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: 2-5/&.4�or 140 Al PA0 ;�aLt_4A5 dollars ($ 00 Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workman- like manner according to standard practices. Any alteration or deviation from above Authoriz N specifications involving extra costs will be executed only upon written orders, and Signature will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire. tornado Note: This proposal may be and other necessary insurance. Our workers are fully covered by Workmen's Com- withdrawn by us if not accepted within days. penso" Insurance. Acceptance of Proposal -The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized I_ do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance Signature PACC-693-3 PRINTED IN U.S.A. CITY OF ATLANTIC BEACH FACSnMIX TRAUSMMMOn TO FOLLOV TO- Northwest Mortgage Company FAX#- 247-4101 Att: Dee Cee Hooking FROM' Don C. Ford #PAGES• 1 DATE- 4/8/94 (TO FOLLOW) MESSAGE: 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 , FAX(904)247-5805 CITY OF 800 SEMINOLE ROAD - -- ----- --- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 M E M O R A N D U M April 8 , 1994 TO: Northwest Mortgage Company FROM: Don C. Ford, Building Official RE: 1652 Coquina Street As of April 8 , 1994 the sewer connection to the City sewer system has been installed . The sewer system was installed by Pace Construction Company. The service line from the building to the tap was installed by Atlantic Coast Plumbing . DCF/pah cc : City Manager f*$R 38+14 TO I � 06PA9TMENT OF SUILDINGi; i CITY OF ATLANTIC BLAtrH I i J?OrM t Rte , 7540' Addr : .1�!5 COQUINA PLAcE 1 Permit !+ UTILITIES DEACH,,,, FLORIDA . j33 1 t N ------ LEGAL DESCRIPTION saot,L "TPS WOt3I?" `RAL. Lia R� RI ick: Section: h, l:4o'se tJr e,. S140LR ;P`AR'TLY 'Township: R; 0 . e1 jt ing I Code. , Subdiviiiori s" t .Value: $0.00 I tp ery. Cta t : $0 .00 $935 .00 naua $,935,' 00 au 1 'PTCI k des C! .CITY WATER �. ION : hPPLIdATION Nit , PERMITw 0 . 00 I s : ES ROAD SLDC. O WAT IMPACT EE 490 .00 DD 71 FEE P Or AO N CTAS A.R.S. to;4 00 R `4RMAT'I RAIDS CAS` '' 4. __ . i N a I OR I1PAR' T C4R ' 1LIPRCE ,_ .5.�. , d� � 5ER TP HYD,RA?DLC SHARE $0100 ? CRSS C4iNLTIQti4 AC ICY w F S! t 4 t `'NOTES:` I ICE, --.ALL CONCRETE L�RMS AND FOOTINGS MU$T SE INSPECTED�1EFOflE POURIAIG PERMIT VOID SIX MONTHS AFTER DATE"OF tSSUE BUILDIfltG i�+IAT£RIAL,RUBBISH AND DEBRIS FROM THIS WORK"MUST"NOT BE,PLAQ.ED"IN PUBLIC SPACE,AND MUST " 1£ FtEt lt l�E��� .T�l COMPLYWITH, H£ NI�CWAR kND`HAUL£D'AWAY SY fttTH"£A CONTRACTOR OR OWNER T CAN R SUET IN : I�I1�� � N h,A� � C�PEIlTYOW IER PAYING Twin Of I3llILI' 1NG t flR VI�I�lENTS:" CORDING Til APP VED PI ANS IIUHICH BARE PART O CHIS PERMIT AND SUBJECT TOREVOCATION 11t #LIGABI E PFtdVISIONS OF LAW. ATLANTIC AC Bt11LDINa Pll MENT" 00 �`.,s. , . . -- �� �}� � J� � �n.� .�'� fC� /��-%` �� �, �, , - f 1i1� � { , , � .� � � ��,,� � ,,,,gin r .b� � / I /� �-�'� L � ���� ���-�' _--- �� 2►�3p 3�� Zl.(��� � � ,� CITY OF /ftutic Te4d - 9&V4& 800 SEMINOLE ROAD - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Dear Property Owner: 4-cF- The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into r_ sewer main $ Water Tap - Labor and Materials to tap into water main $ '— Water Meter - Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention Sewer Impact Fees - Funds future expansion of the sewer plant $ Water Impact Fee - Funds future expansion of the water plant Captial Improvement - Funds for improvements, expansion or replacement to 3 ,0� water system $ TOTAL COSTS $ If you have any questoins concerning these charges please call the building department at 247-5826. Sincerely, c Don C. Ford Building Official DCF/pah CITY OF. ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) p TUB OR SHOWER STALL (6) WATER CLOSET ` WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) I LAVATORY (1) COMBINATION SINK AND TRAY (3) rI WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) V WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) v DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY 1 ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) �� URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ ov JOB INFORMATION d 8 24 { DIEPARTMENT OF BUILOINO CITY OF ATLANTIC BEACH 1 i FERM I T I NFORMAT ION ------ LOCATION ,I NFOAMAT ION - - Peri�it,Number: 8024 Address: 1552COQUINA .PLACE Pevmit Type: PLt1MEI tO ATLANTIC SEACR j FLORIDA 32233 iaii 7of Works NEW :..�� _ .�..».� LEGAL D9SCRIOTION ---..----- Conitr.. Type: N/A. Lot . Bleck. Sectidn. Use: SINGLE FAMILY RNC: 0 Ili S s 1 Codes 0 Subdivision: titim t VaIue ?.IO IM ,!"ay. Cost: $0 ,00 Total , " $18 ,50 1 AtIaur '$18 . 50 1 ork� X WATERi r _.� . .. .��:.. TION = _ A 'PL CAfiIOn FEES . . --- m Vit. PERMIT $18. 50 1 Add rs s: PLACE NAT IMPACT FEE $0 .00 I H, FLORID $aall, vvl $0 .00 i ! . �. . ««,,... RO TI _� . _ ... RAI 3N CAS $ $O,00 N LA C ST FLU G TI E CAPI' AL IMPRO E. �#?.00 _. .. ... SEE. V $0 .00 JAGZKS LLE SEACH, PL 32250 HYDRAULIC MARE $0.00 2 Type 0 CRO$$ CONNECTION ,Om, �Q C SEC.H IXPAC;T. �'EE $0.0 C WON `NOTES; wr NOTICE-b ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECle 13EFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING.MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUSTaNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP,AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER t "P 111 .SJR TO COMPLY WITH THE ECHANICS' LIEN;:LAWCAN RESULT IN , TH PRC3PEIRTY t WNE1 PAYING TWICE FOR UILC INC I.MPRV MENTS." t3SUE0 ACCORDING TO APPROVED PLANS WHICH ARE PART Of THIS PERMIT AND SUBJECT TO RE�OGATIONs,FOR 1f1QI_ATION 0. APPLICABLE PROVISIONS OF LAW. ATLANTtC BEACH BUILDING DEPS ART.MENT t I ; By' tat paw r � CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: .� BUILDING CONTRACTOR: / PLUMBING CONTRACTOR AND ADDRESS: TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: rale-h - TYPE OF WORK: -Ie,.-- HOW HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER.------- GT E r Se roe, TOTAL FIXTURE COUNT: x $3.50 + $15.00 $ /tY, 50 ---------------------------------------------------------------- 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 asa 3saor E DEPARTMENT OF BUI1t.D�NtsS` ¢ CITY OF ATLANTIC BEAOH j f PERM I T I NF'ORMATI ON ------ --- --- � LOCAT I ON I NFORMAT;I opt ------ I Permit `Number: 8141 Address, COQt3INA PLACE Fermit Type: RE-ROOF RTLA {TIC EEACHr FLORIDA, 32233 1 Glasse of Work:, NEW -�___----_ LEGAL DISCRIPfiI.OIi. _ ...__..�,_,..� Cons.tr: fi +ge;; WOOD FRAME Lot : B1okia � ' Proposed Use: SINGLE FAMILY' RN+�: 0 t Biel 1149s: Code: 0 $ubdi.visiow OCEAN GROVE �EstItih —d Value: $1500 .00 Improv. Cont : $0 .00 Total A mourn 2. 50 Int '-work ORT .'ROOF ,. . . ... . TIN ..� � ,»__ APPLICATION FEES — —.. . � N T1 AM PERMIT ,$22.50 dr. s,* A PLACE ff WA IMPACT FEE $0 .00 I R. F'LOR I D, � �, � � PERPh RADON OAt-H.R. S« $O .00 ------- R , PORI TIO, - RAD CAS' 5% $0 D0 Nie: . OI? O ER CAPITAL IMPROVE'. _.x.0.00 Adt :tl BFi ER..' 1�P $0.00 HYDRAULIC SHARE $0.00 L� cepType: I C1tS O ?t1EIt?N O NEC'.1"I l PA,C F F`EE $0.60"" NOTICE ;--ALL CONCRETE FORMS AND FOOTINGS MUST,BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE BLEARED t9PAND'HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN CAN RESULT IN THE PROPERTY C 11V ER:PAYING TW10E F;OR-SUILt INS, IMPRt 1�fEMENTS.,'' ISSUED,ACCORDING TO APPROVED PLANS WHICH ARE PART OF.THIS PERMIT AND SUBJECT TO REVOCATION FOR IOL01�746F APPLICABLE PROVISIONS OF LAW. '01ANtl6l" T ACH BUILDING DEPART'ME'NT Nate: 410"► 01 kptl 0043191 CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s): 2--/, Address: ,2 61- . t". -Phone: 9=pF,, Lot Block or Unit # Subdivision: Contractor: MQio he.v, P-CQ C"/&yer-- Address: �'! X) sc,/fi /3 H J L, (f City, State and Zip x Phone 22 / - UO C' State License se C 0 r) Describe work to be performed: RP02dFic e ca r, ©or r _41rfC- Valuation of Proposed Construction:__ / : 500 . C' " Materials to be used: ��a �'e 1 k a." C( Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information OWNER BUILDER PERMIT AFFIDAVITI tater ut Florida ) City of Atlantic Brach ) BEFORE HE th undersigned authority, personally appvarvd :_ _JTc� "_____, who upon first boinv duly sworn, deposes and says& L.. ..--------' and the legal owner of the Sollowino property& Subdivision Block --------- Lots _ •- -- - - ARA _,. _.....s__..�.... .. .... ._ ..�_ I am applying for a building permit pursuant Lo the Owner Builder exemption set forth in Florida Statute, Section 489. 107. Florida law requires that I have been provided witte tho following DISCLOSURE STATEMENT& DISCLOSURE STATEMENT ,State low requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property# to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of. $25,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or leak* more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations, It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant say*th not. Property Owner Sworn- to and subscribrd before me this y 8156 j car r> DEPARTMENTflF BUlLlA NG CITY 4F"ATLANTIC BEACH 1 .:- :PERMIT INFOa TION _ :. L CATION INrORNAT ION --------- I earmit. Nurnb�r 015+6 Addresess: 1652 COQUINA PLACE + I+mit Type �LC3lING ATLANTIC BEACH. FLORIDA 32233 LEGAL PBSCR I PT I ON - -jasi -of 'Work. Nit �__ �,. __ Cont r. 'L pe• WOOD PRAHE Lot :« B16Ck2 Sere an. ...Proposod 136c. SINGLE,FAMILY RNG: 0 Dwellings I Code: 0, Subdivision: OCEAN GROVE j 'Est imated Valtrex: $0 .00 I improv. cost,#. $0 .00 T al . $15.40 Amou $1.5.00 �� { TION AP L I CAT I CJN FEES i TED PERRY $15.00, ALidra:esla. C PLACE v AWA II�CPACT S4 00 i E H, FLORID ; AT FFA i 9' 81 AP RADON GAS-H R.S: $4.0 . ..� . H FORMAT RADON CAB '5% Nina A ' COAST —4-TIZZM .,. CA $0 .00 1 315 U�NtJE....SOUTH SEWER ,TAP $0.00 R JACKS LEBEACH, FL 322.50 HYDRAULIC SNARE . 00 Lic s, 2 Type 0 CROSS CONNECTION X0;.4 SSC. ��' ' M $ 1.0 a ., � ..; . M... ..ud. OON ST. SURCHARGE NC;1:TES: 4. g� �1 NOTICE--ALL CONCRETE FOAMS AND FOOTINGS MUST BE INSPECTEQ 13EFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDINCa MATERIAL,RUBBISH AND'DEBRIS FROM THIS WORK MUST NO B PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR;OR OWNER "FA ,u RE TO COMPLY oril THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY C?'11 kE�i PAYING TWICE Ft3R, ILOING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR 1tIOLATION f)F APi�LICAEILE P 3OYIS16NS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT44, Sy , CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION• 1652 u-I OWNER OF PROPERTY: BUILDING CONTRACTOR: ,r PLUMBING CONTRACTORrz AND ADDRESS: � /� ,/�✓ �� F TELEPHONE NUMBER: r STATE LICENSE NO: �� v .5-6 TYPE OF BUILDING: P�� c TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER - I TOTAL FIXTURE COUNT: x $3.50 + $15.00 ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURE8 MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTION$ - (904) 247-5826