Permit 1860 Live Oak Lane ?yL`1r
s ` p t CITY OF ATLANTIC BEACH
;•-. - � ; y 800 SENIINOLE ROAD
s Ali r) ATLANTIC BEACH, FLORIDA 32233
' INSPECTION PHONE LINE 247 -5826
-r. t011.19
03- 00026395 Date 6/27/03
Application Number 1860 LIVE OAK LN
Property Address REPIPE 13 FIXTURES
Tenant nbr, name
Application description • • ONLY
TO PLUMBING ING OUPDANLY
Property Zoning 0
Application valuation . . . .
Contractor
Owner
ADAMS, FREDERICK CHRISTY FIRST COAST PLUMBING
1860 LIVE OAK LANE P.O. BOX 50446 FL 32240
ATLANTIC BEACH FL 32233 JAX BEACH
(904) 247 -4419
Permit PLUMBING PERMIT
Additional desc • 126.00 Plan Check Fee .00
Permit Fee Valuation 0 • Issue Date . • •
Fee summary
Charged Paid Credited Due
126.00 126.00 .00 .00
Permit Fee Total .00 .00 .00 .00
Plan Check Total . 00 .00
Grand Total 126.00 126.00
UP AND H UL ERI AY BY EITHER DEBRIS
ONTRACTOR OR OWNER. "FAILURE TO COMPL WITH HE CONSTRUCTION LIEN LAW CAN
UP AND HAULED AWAY OWNER TWICE
RESULT IN THE PROPERTY WHICH ARE PART OF THIS PERMIT AN S UBJECT TO REVOCATION FOIMPROVEMENTS"
VIOLA ON APPLICABLE PROVISIONS F LAW. PLANS
RT ITT DING OFFICIAL
- l - CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
-.on >>'
Date: to l 27Io 3
Job Address: 1 0 b 0 1—r ire Q ak
Owner of Property: `gyred & /ens S Telephone: aY9- 73 7 9
Plumbing Contractor: A 6 S / 1'r S d- Ca, 5 J Pk( v» b .` h Tvi c
Contractor's Address: P D. V3dv . 5b j3c4 ?-01'(1 o
Telephone: p 4' 7- 4/ y/ y Fax: a 9 9( 6 o
State License Number: Cr CO 5C, cf I 7
How many of the following fixtures (re -piped or new):
/ Sinks Showers Water
3 Lavatory Z- Water Heaters Z Hose Bib
2- Bathtubs Dishwashers Sewer
Urinals Disposals Other
2. - Closets / Washing Machine Shower Pans
Floor Drains ✓ Re -Pipe (List fixtures being re- piped)
Total Fixtures: 3 x $7.00 + $35.00 = (Minimum Permit Fee: S35.00)
Signature of Contractor: • 6r g .
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
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
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