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Permit 230 Pine St (vault) r' Pr's OF BtACH Appr,Xc-kTV--)N FOR WIMPER CUT-TN 15 *,HE \E13Y W�Dj% X, ✓ N'P.CSf EP CXYT-),W AT sA:3.f.i FOTtNW.L IG' yJ)DA:ESe.'', f.'t,15''S.,..».... IMP IT (S) o y rve.n •-- 9 S..S�T.rFa.�. Ylo SUBC J.V I.,TOULZ -,NCC(XJ14T NO. MASTER PLUMBER MAILING ADDRESS DATE &r, METER NO.� lCf/ ,321 DATE INSTALLED � �2 ' DEPARTMENT OF BUILDING 4257 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 1/22 19 80 Valuation 665,00 Fee $ 5.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Armatrnng Fence CO, has permission to> igt21" 01 Ligh fpnep- ar_enrding tO plans submitle Classification residential Zone Owned by R-1114t Ar7i& Lot Block S/D House No 230 Pine Streit According to approved plans which are part of this permit NOTICE—AL CONCRET11.96111 AND FOOTINGS MUST . IIfi SPECTED BEf9RE PgUR�)�7V:t a PERMITei SIX MO sal;}a x AFT)t�" PATE O ; SS p .4-- 0 ► 0 Building material, rubbish and #4*41 Zfrom this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. BiIL Ah Davis Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Ii Building Permit #4147 Electric Permit #2527 - ;,?5-&9 INSPECTION RECORD Plumbing Permit #4142 JOB ADDRESS 230 PIne Street CONTRACTOR Billy Arzie Const. Co. OWNER Billy Arzie Const. Co. TYPE 1W..".'E REMA"R ZS XVS1'E..a.'OR FOUNDATION SLAB - 7 PLUMBING (R) SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) PLUMBIRG (F) FRAMING /0 Al. ELECTRICAL (F) OTHER FINAL ;c r l "�,p{. IF `� t N �iit ee 4� 9-4--79 DA�, ATEb DATE t � 4T DATE S " z A�, r .�. iRiu� MTsYir,..r.,.k.,w;,,w,r.,.... 4. w 4 1 C r1 s 'c 9 - , tc `4M�(1+"Yrre."" ,w"ie": `l4SR {.liw►>n 'L .a., ,.4*+.I+a:M.o `.s.�.E n.�h.rp«w ,sr':+►r.� .rrt 'Fr C1y, " +a'��d4 ,.1�.#'z'" tMR'1w^M�fd'f1"ilwl�7MMi+IM aYI1wdM�3.r, Yiw Mwwl�lY1r..wr+M iMy►.NY+IiMi J g 3y xzz .. a !; xx4 i� 19'4`"�..i..ww+l..lri�i ,w+. i 0 S ki`fit 42L�'tX _ 3 yr x 11 �, � ► �� '� ` � 4 r, it } 13 1 1 . - u g �, d ,, 'tie'w�ti*aMM'� M�}'4'+rR+ehM�.7�YCw *+F•a1 fiPPtdswn�..�.e ra.+.r.w ww....y a+*...w�rw w�wy � - M1M3i+aw. Mk+ ilpv+r 3 wCr' .' ,� � � } ,.��IIp Y,�1l iTd11Y A4r. +r'M�'01 WlI+�MY!r+i•w.s W>� �: 3 ' 'T s Vota f s e � MTRF ryry �� + �54 or- Mre: 77, 4" da nota ly :since At3a�tiC Beach +2 OofU r � . A'yX` r t + 7+fib+2Ct15 r $` im 1128 , S '` rst Floor23+ 912 SF Second Ej 190 } 4 , t i ► l Area : 2040SF divided by windw aresof 203SF=14% ' � ice 0e t an 2a9� :�� per �S�ct�sin �,' �►e1c�+� J�5,, Table �-A Wn b*..�evr4 �Y ,certify 'that` theprop©se�# `residence at 230,., tsr requirements of Appendix "J"' SBC. � �w </ r `"- /C, BILLY 'Kir A"jT&, J°Cxf1M 20 ,Aw4i"from /VCE84'jmc Townsend,Maas 01470 Sli* Ants, Archlt t, ARA SofET NO OF 770 Cooit give /�. �#�+-.fit pis +� R}�y J� r� " - Lr1 Li�Ul ATE"'1 BY ...y.__._.___.._ .__.. ____..:� _ DAM *4) . 9.462 t,,iGKLU i1„7 r.- i 4 .4 1nkl.a tiK3bd,..r -19.06 To tal pew Table W 401 or More WALLS: a or -40 Per RQ Q Qc±0rs tad not Qrly SinceiQlaritid Beach T of 50 (�Emit r t.f 'ea.B `4 !v+ks*+�^`", •'Y C +..M6 ,:.. .w.001.yL ' c 9 z{i�A4 .t y33iy” r t.k+�pf�>M Y,fM1+�''§�:1r i�, KK { a ✓ �'v �.: x i v xr t 8 1128 SF IFIrmt Floor) requirements of Appendix "j" SBC Kamm bMN('ve r �rir 'ownsaui Mns� 014^C J { DEPARTMENT OF BUILDING 4142 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8/28 ig 79 Valuation$ Plumbing Fee$ 13.00 This permit not valid until above fee has been paid to City Treasurer. and is abject to revocation for violation of applicable provisions of law. This is to certify that Bob Mitchell Plumbing to. has permission to build to install 1 $Idi k,3 lavatories,2 bath tubs, 3 closets , 1 water heater, 1 dishwasher,l dispos&111 washing machine. Classification 8,>aeldenti 4 Zone Owned by Billy Arzie Const. Co. Lot Block S/D t House No--2a0-2-1110 st- est According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE x �► ► ZBuilding material, rubbish and debris Zfrom this work const not be placed in public space, and must be cleared up and hauled away by either contractor or owner. Bill M. Davis FOR OFFICE PERMIT DATE CON6RA6TOR I z} 6/i:8/7+ USE ONLY NUMBER PLUMBING PP ELECTRICAL SEWER WATER i CITY OF AT <ANT!C BEACH APPLIMMM FOR PLUMBING PEFU1011T °a.,UZ4BXNG FIRM WNSTER PLUMBER I' ,,"COM, Tr OCCUPATIONAL LICENSE NO,_ x . 3lrPj0E CERTIFICATE TWE2 OF BUILDING SHOWERS DISSUI`ASHERS OTHER /�J � �. e`.,aN A.. .�k"•,4 a w d d,aea� ti d:.a:'��+?"�:. a «� C' � C n;•M�.�,w.pl.'§S �.��" ."�9�as- .�',i"�.:t �'� .�.�-„�.��R�.�3':�,>.�. 2.�,5,a.,='� .J.S''� 'I'll fia .r v BEACH �ATER CONNECTION CHARGE DA TE tiEt � �pp� p�yp� tt lk' P...+.� az u� ld gU i LIDER OR CGNTRACTOR_z65,/z w PE OF a&i l .UING . BATHROOM GROUP COPS:""S,'I NG O m._..�..SHONE '547AYn, DOMEST (2 vgri fts) WATER CL05 T LAVATORY & ETid"rUBSATFT118 (WITH OR WITHOUT xI.VER n SHOWERS GROUP PER HEAD (3 nits) _,�.. HFA BOWER (2units .__... .SURGEONS SINK (3 units) _.BIDET (N �,. ...�FLUSHING Rime SINK (Hunits) COMBINA110 SINK AND RR.AV C23 amus; SERV4CE SINK TRAP STAN (3 units) C4OMBIU10N S :N A-40 IRAs WFOOD 4'S. 1POT, SCALLER.` SINK (4 units) URINAL, PEDESTAL, SYPHON JET F NTA€. OTNIT OR CUSPiDoR Cl In it) (8 "wilts) LAVATORY (I un-10 � URINAL, WALL LIP (4 units) -.—DRINKING FOUNTAIN ('t YArdt) ._.lJNAL STALL, WASHOU'* (4 units) DISHWASHER (2 units) _n URINAL TROUGH EACH 24T. SECTION 2 cunt`s E'�a�JOR DRAINS (I unit) / _�..� / WASHING WCHINE RES. (3 units) 400&il*CHEN SINK (Z un,,its) MASH SINK EACH SET OF FAUCET ...Z KITCHEN SINK /FOOD WASTL: GRINDER _72 omits WATER CLOSETS, TANK OP (4 units) LAVATORY (I vwAt .�.�..ad WATER CLQ��E7S, VALVE OP �D units)gA���,ERq BEAUTY PARLOR .��_..� .�2 mrli�..5= _ LAUNDRY "BRAY (2 units) LAVATORY, SURGEONDS (2 snits) 41 � NO OF tiPPR �p tip eapG B ` 3 v ASL �O to pN p� 9 j ct'�Y°F p5 1 09 oa �1�►\S paw ,gee C:w of vw. �'ZQ 9 QNa to toti+io� 6 ee N°bee u%cl 4 ,va 146 �a Doti\ tbot e� o of two • �YQ `1 oyno �1 a t t oa qs �iip4 4bi9 Qe �t to teYO� W�b1 a \ ceYtbf9 tb e to Sa 13 I to S VetTo g�P $1oc GgEtt 8E 1n� seg3.d Lti Cpl tS5�g1JAG. \ Y t;o �cp't Ftp' 111�'S F, O '1�5 Ole% t�;s 4e �O'tZC'FOO'tF,gOg �O��E C, eaby s=e paw of SYY'c,SY,9IN T Q O P►�Y'OF 1 spa 60 io Yggwg� bb;ab 41a� 04 �t o oQea 41ane P+F �atet`ag a g t� c� a�t 8ovot� �T1 s44s �c�ta,¢g t° /- �2 $ b ba s«s9 byl G° � N ,vp,v Btaa E NUM F°RB°Ni. V8 G a baa a �,ptSit Date..... Permit CITY OF ATLANTIC BEACH valuation FLORIDA Hou" APPLICATION FOR BUILDING PERMIT 7112-7 Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application Is made In compliance and conformity with the Building Ordinance of the City of Atlantic Beech, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be compiled with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit Is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections It in suggested that a list of sub-contractors be submitted to this office so that licenses con be verified. Date.... . . ........... ....... 'T Owner...... ...........................Addresx-.�T! NO-14�i 4-E.Z.41 ....................Telephone Architect----•---•..........................56-YYI-e—--------------------------------------Address,......... ......... ................. ....... ..............Telephone No........... Contractor Builder................. ......................................Address............................................................Telephone No... ..... ... ..... ......................... Lot No. f'�5?-ZDivision----.....?. ......................... - - ----------------------------Block No. ---�?-----Sub . .............. Zone..............._ P1 M e— . .......... ...... i�.e� ........I..................................................Street----- ------Side Between....*'-I)P"'j 1 -Z-->.....................and.... ............. valuation Q.....For what purpose will building be used.....40us C— ..........................Type of construction.... Dimensions of Building... -------—Dimensions of Lot......5OX... Sin of Footi'gs..... ......... ......... .... Size of Piers................................Mae of Sills---....-_-• ....................Greatest Sill Span In ft.......................Type Roof..,N� E.H.PLT How will Building be Heated? -- .....................Will.................Will Building be on Solid or Filled Ground?..... L ----------- --------- Sise of Ceiling Joists...... Distance on Centers............-24-"O<f ...... Greatest Span-............. .............. ......................... Size of Floor ......................Distance on Centers......-. ...0.-C--........._, Greatest Span...............160 Size of Rafters. W4 WA .................................------------- Distance on Centers........ .... ............................. Greatest Spaw.............0..................... This rectangle Is to represent the 1*L Locate the building or buildings in t1w ht position. Give distance in feet from lot-lines and existing buildings. Tan REAR LOT LINE Two copies of be submitted wol Inspections 1. When steel 7rdy to pour footing. L When steel is in place and ready to pour columns and/op� 1/1 3. When steel is In place and ready to pour beam. 4. When framing Is completed. f (i eL'ry r LT- " 5. When rough plumbing is completed,and ready to cover up. A -7 A-(o 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical Inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inopwdon MUST be called for after corrections an made. FRONT OF LOT In consideration of permit siven for doing the work as described in the above statemezrt, we hereby agree to perform said work In accordance with traho/10tached plans and specifications, which an a part hereof, and in accordance_ with the building regulations of the City of ti --770 Signature of Builder................M......M..................... 1�5 7................................... Address.... .. Signature of Owner.........-• ... ........... ......I.... ..... .......... ........- Address................................................et-In......................................... 'PJTs OF ATLANTIC BEACH WATER CONNECTION CHARGE DATE LOCATION , . PLUMBING F I Rpt.. MASTER Pt.0M ER BUILDER OR CONTRACTOR_ � r TYPE OF B1111,01411G a.s BATHROOM GROUP CONSISTING OF SNO��fER MALL, DOMESTIC (2 ►an ts) MATER CLOSE-1 I AVATORY & SAT T11B _ SHOWERS GROUP PER HEAD (3 units) BATHTUB (WITH OR WITHOUT OVER „� p HEAR SHOWER) (2units) T SURGEONS SINK (3 units) a . BIDET (3 units) —FLUSHING RIM SINK (8urnits) COMBINATION SINK AND, TRA" (3 units) SERVICE SINK TRAP STAND (3 units) —COMBINATION SINN AND T'RA� WJFOOD DIS,, ---.-PDT, SCrALLERl SINK (4 units) (4 units) A UTP I NA L, PEDESTAL. SYPHON JET DENTAL UNIT OR CUSPIDOR �:I unit) -BLOWOUT (8 un lois) DENTAL LAVATORY (1 uniO _m _URINAL, WALL LIP (4 units) DRINKING FOUNTAIN (�,, unit) .—AiNAL STALL, WASHOUT' (4 units) ... /_.D'ISHWASHER (2 units) URINAL TROUGH EACH ?-FT, SECTION _ 2 units FLOOR DRAINS (1 unit) WASHING MACHINE TIES„ (3 units) FI'TCHE,N STINK (2 units) �., .. _... WASH SINK EACH SET OF FAUCET KITCHEN SINK WIFOOD WASTE GRINDER � � uOts (3 units) ._Z.yATER CLOSETS, TANK OP (4 units) LAVATORY (I unit) WATER CLOSETS, VALVE OP (8 units) LAVATORY, BARBER, BEAUTY PARLOR _....�� (2 units) TRAY (2 units LAVATORY, SURGEONDS (2 units) s t. CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026681 Date 8/18/03 Property Address . . . . . . 230 PINE ST Tenant nbr, name . . . . . . CONDENSER Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ----- -- - ---------------- ----------------------- ROLAND, PRISCILLA ROBERTS HEATING & AIR 230 PINE STREET 8697 AGREE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 (904) 765-2599 -------------------------------------------------- Permit . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . 59 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 f 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. a BUILDING OFFICIAL CITY OF ATLANTIC BEACH J MECHANICAL PERMIT APPLICATION Date: Owner of Property: arcici U( Job Address: Contractor: ;Zbe-,-Z In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. ❑ Electric IS OTHER CONSTRUCTION BVJNG DONE ON THIS ❑ Gas: _LP Natural _Central Utility BUILDING OR SITE ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED A6 Residential or Commercial New Building (Provide complete list of components on back of this form) Existing Building ❑ Heat _Space _Recessed _Central _Floor Replacement of existing system Ll Air Conditioning: Room Central ❑ Duct System: Material Thickness ❑ New Installation(No system previously installed) ❑ Extension or add-on to existing system Maximum capacity cfm ❑ Other-Specify C] Refrigeration ❑ Cooling tower: Capacity Qpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description ModrJ Numbber Manufacturer Capacity Approving t —/ (Tons) Agency cxxlvNc�,.� 3 HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• http://www.cLatlantle-beach.ft.us 1/14/03 MOW 11379 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH � ... PERMIT 'INFORMATION - -------- LOCATION INpOTmATIOPt Permit Number: 11379 Address ; 230 PI14E STREET POrmit Type,, RE-AOop AT`LANTI'C BEA6H, FLORIDA 32253 Class of Work* NEN -- LEGAL DESCRIPTION Constr. Type: WOOD` FRAME Lot : �_ ' Buck: Section: Pr0Lae� ed Ui» e. SINOLE FAMILY Toanship RNC : t? Da+ 1 n 0 Cade: fl Subdivision: ATLANTIC SEACN E:�ti ated Value: $1400 . 00 Improv. Cost * '10.00 Taiee 522 ► Amami" $22 . 50 Da1, 215/96 Nails . . . ._- v. TION--- ICITY'OF- APPLICATION FEES ----- - PERMIT S22'« 50 A e rSTREET NAT � IMPS# T' 'FEE � $0 .49` CH, FLORI �, F ' t AP RAD014 GAS-N.R.S. to ',44 T NFt3Ri4 ON �- RADON CAB 5$' $(3 `t�Q Mame v ` EO R ING CAPITAL IMPROVEAddMAX-1-- '162 JAC MLLE, FLORIDA 3225 CROSS CONNECTION $0.44 L e Cf 2 Typ$. 0 SEC IMPACT FEE 0.00 CONST. SURCHARGE S 00 ° " P�.kti4Mew,++YE axdreg�asw2 `3`6 p ., C)TES: I NOTICE'—ALL CONCRETE FORMS AMD=FOOTINGS MUST BE INSPEOTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER,DATE OF ISSUE , BUILDING MATERIAL,RUBBISH'AND DEBRIS FROM THIS WORK MUST NOT BE PI jACED IN PUBLIC SPACE,AND;MUST BE CLEARE©UP:AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER " #JL#JRE Tt COMPLY WITH THE MECHANIC'S LIEN LAW CAN R ULT: N THE PROPERTY�3' ►[BIER PAYIN aTWICE FORTH E B ILDINQ MPROVME TS" AEU ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION Fes€ IOLA ION OF APPLICABLE PROVISIONS OF LAW. ATLAN BEACH.BUILDIN( DEPARTMENT Fseas4'<'?1(00 �. e CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION : / -t4-,g OWNER OF PROPERTY: CONTRACTOR CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER:_ /f. G 0 0 TELEPHONE: DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: ! SIGNATURE OF OWNER : SIGNATURE OF CONTRACTOR: Ole- Liability Insurance Supplied Workers Compensation Insurance Supplied License Information Supplied PSA 3844 15018 I` DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH. r PERMIT , INPOIiNA ION '------- ------- LOCATION INFORMATION , . �_.;�..�... permit Number: 15018 Address* i230 PIN'S STRggT Permit TI'P 'PIU BINt ATLANTIC HAZIP i�`Ii� FLORIDA 32233 a a ' N rk:ALTP Pa `ION _ ----_-- LEGAL DESCRIPTION x Fins t 1 . Type«`F OOD FRAME B�l t9C� « Lilt r Proposed Use: Section: c� Subd:l� Fing: t Dwellings: 0 Eat . Value: 0 .00 Im roV, Cost : 0.00' Total Few 4 2S.00 , Amount " {w°`° 25.00 71 rTI-ON.. »"" .» APPLICATION PEES - ------ --- j ° IT 25.00 �EET FLORIDA 3 � ��� � PAC? . „ F +° s ,le a ss a pa - a 4� , x R OtAT O� - -----� i Name, It5;, Y` S I140 1 K JACKSO1 A ?L 3220 P: T 4 wa yxx iuk..,A«'rA, .f . .rte � r NOTES: a i NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i 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 MECHANICS' LIEN L..AW CAN RESULT IN k THE PROPERTY OWNER PAYING TWICE FOR SUILOING IMP'S OVENlENTS." ISSUE© ACGORDING,TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 'FOR f VIOLATION OF APPLICABLE PROVISIONS OF LAW. MOO ! astf ' ATLANT! EACH BUI DING DEPARTMENT:... cks �.1. By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Z 3 u ? ne ec'7" OWNER OF PROPERTY: L✓� //�4r-7 ,� �� ,,��/ PLUMBING CONTRACTOR:�� 17 CONTRACTOR'S ADDRESS: SSS :Z STATE LICENSE NUMBER: C /, C 0S TELEPHONE: HOW `ti4IY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + ?15.00 MINIMUM PER`?IT FEE _ 325.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: _ ------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES :NST 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. 1