Park Terrace West 1500 CITY OF ATLANTIC BEACH
6, 4
APPLICATION' FOR PLUMBING PERMI T
JOB LCCATION : J5o5 Piffu1'
OWNER OF PROPERTY: ( TELEPHONE NO jZ49 -.7997
PLUME INS CONTRACTOR LARRY TEAGUE PLUMBING
CONTRACTOR'S ADDR =SS : ,3 :2.. Spc�7»' ' S 44? 440 aAg /‘
STATE LICENSE NUMBERR = PFCO56776 TELEPHONE g
s
HOW I -.A.*Y OF THE FOLLOWING FIXTURES INSTALLED
S IP KS / SHOWERS
2 LAVATORY _ / WATER HEATERS
BATHE =U3S DISHWASHERS
:RIVALS DISPOSALS
_5 CLOSETS / WASHING MACHINE
FLOO DRAINS / SHOWER PANS
EWER WATER
REPIPE OTHER
U
TOTAL FIXTURES: x $3.50 $15.00 -
MINIMUM PERMIT FEE - S25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRA y(
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUM3ING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (9041 247 -5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904) 247 -5834