454 Sailfish Dr (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF I;UILDING
800 Seminole Road -Atlantic Beach, FI 32233 -Tel. (904) 247-5826
ROOFING PERMIT
PERIVII I LO
Permit Number: 22789 Ad ress: 454 SAILFISH DRIV
E EAST
Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233
Class of Work: NEW T nship: Range: Book:
Proposed Use: SINGLE FAMILY Lo s): Block: I Section:
Square Feet: Su )division: ROYAL PALMS
Est. Value:
Improv. Cost: 2,975.00 —Pa 'cel Number:
QWNeR jN::F�Q�A
Date Issued: 10/05/2001 Name:. LITTLE, MICHAEL
Total Fees: 45.00 Address: 454 SAILFISH DRIVE
Amount Paid: 45.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/05/2001 __P jqne, (0�00 -0000
)000
Work Desc: RLROOF
- ON
_G
ES
FC_HRISTfXN ROOFING
FTRII JIT
45.00
te
,IRO
V,
7�
_J
S
12
NOTICE - KISPEtTlOftd E T ""T P IOR T PECTION
FROM THI.S..WOR MUS
BUILDING MATERIAL,-A 6R NOT E ACED INPUBLIC SPACE,AN
PBOISH A I, -IS
.,- : ! , D
MUST BE CLEARED UFi*-AVdHAUL Y aY,E; - t' 4F
NT OR 0 NER
7`�
'R LT IN THE
"FAILURE TO COI1fiPLi*T H DiStm I
PROPERTY OWNER PAYIM
r!fFO OWN
IN
ISSUED ACCORDING TO APPROVED P RMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISION
e�Y
$45.00 14
TAde
r _s"
To nsh
Lo S).
'PC
CITY OF ATLANTIC BEACH Date: 18/05/01 @1 Receipt; ONI165
CHECKS 400
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
19
CONTRACTOR'S ADDRESS:
STATE LICENSE NUMBER: TELEPHONE:
HOW MOY OF THE FOLLOWING FIXTURES INSTALLED
SINKS HOWERS
LAVATORIES 14ATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS ISHOWER PANS
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
------------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY.AHEAD TO SCHEDULE INSPECTIONS - 004) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
PSR-38
"' ' DEPARTMENTOFewwwO
CITY OF ATLANTIC EACH
''LOCATION
INFORXAT -- ---- INFORMATION
PERMi-T,
Add ress 454 SAILFISH DOT _111ST
Pl�lrmi t Numb�r- 15691
Permit ' tyiW PLUMBINO ATLANTIC BEACH FLOR IDA73 2 2 33
C ss of Work:ALTERATION DESCRIPTION
nstr , Tyoe:wooD FRAME Lot : T
oposed UtetSINGLE FAMILY Section: 0 Subd; Rqg* 0
Sobdivision*.ROYAL PALMS
Dwellings . 0
Est . Value: 346,126, 600 -00 .
p rov . Cost :
25.00,
Total Fe S .
Amount -, 00
$4, rk�
ION
APPLICATION FEES
Ni R1,00"
"IT
:'bR I VE EAST
F
LORI A 3
pi
A
0 el"� '4 "S"46 iwo"'
Or
R ------
P
NO CO
J A rP-'K S, L 32245 �
Exp:
19
0
" tk#"�
3 %J
A�
jv§
N ES:
NOTICE-INSP�CTIONS MUST 8E,REQUESTED A r LEAST 24 HOURS PRIOR TO INSPECTION,
AND MUST BE
UILDING MATEAIAL,RUSPISH AND DEB41S FROM THISWORK PIUST NOTSE PLACED IN PUBLIC SPACE,
EASED UP AND HAULED�AWAY BY-EITHER CONTRACTOR OR OWNEA
FAILURE TO COMPLY WITH.THE MECIH ANICS' LIIEN LAW CANRESULT IN
0
HE PROPERTY OWNER PAYING TWICE FOR SUIL ING IMPROVEMENT&
AT WIF
ING TO APPROVED PLANS WHICH ARE PART :)F THIS PERMIT AND SUBJECT TO REV6C �014
SUIEDACCOR
AT
OF�A P AS
,,,LATLlOt4 LIC L�PROVISIONS OFLAW.
14'40
2W49, SI 9
r
r
M
d
A' ANTIC BEACH UILDINGIDEPARTMENT
t
+
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826
ROOFING PERMIT
LOCATION.INFORMATION
PER MIT INFORMAT----------,-----
-0 irmit N4uml�r.___`�891`� Address: 454 SAILFISH DRIVE
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lor(s): Block: Section: 0
Square Feet: Su)division: ROYALPALMS
Est. Value: Pa,cel Number:
Improv. Cost: 1,000.00 OWNER INFORMATION
Date Issued: 10/01/1999 4.am e: NAPOLEON L. LOMBOY
Total Fees: 25.00 Ac dress: 454 SAILFISH DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 10/01/1999 i I'hone: (904)779-9501
Work Desc: REROOF
-FEES
CONTRA S� - APPILIPATION
PIRROVERTY OWNER PERMIT 25.00
747
jnspections Ljired�
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHERPON-TRACTOR 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 I
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.8014
Date: 10/81/99 91 Receipt% 8999164
CASH
ITY OF QATTAI 80100003221008
C 136�:CH
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION:
OWNER OF PROPERTY: TELEPHONE::
CONTRACTOR:—
CONTRACTOR'S ADDRESS:
zip:
STATE LICENSE NUMBER:— TELEPHONE:
DESCRIBE WORK TO BE PERFORMED: F-
VALUATION OF PROPOSED CONSTRUCTION /ir
C_ J'
MATERIALS TO BE USED:
SIGNATURE OF OWNEI
SIGNATURE OF CONTRACTOR:.
SWORN TO AND SUBSCRIBED BEFORE ME THIS —DAY OF
AS TO OWNER:
NOTARYPUBLIC
.AMMM
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 14y 006MI EXPIRES
August 27
2000
DMI)THRU MY FAN INSUMn,INC.
AS TO CONTRACTOR NOTARY PUBLIC
Liability Insurance Supplied
Workers Compensation Insurance Supplied
Contractor License Information Supplied
Occupational License Information Supplied
DATE: _Y_-�2 -c17-
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE AND ARE
SATISFACTORY :
--- - -- --------------
--------------------------------------------------
---------- ------------------- ---------------------
--------- ------------------- --------------------
--------- ------------------- --------------------
Enclosed are the blue copies of the permits .
S 7ZELY,
�4/�
BUILDING INSPECTION DIVISION
= FILE
'12772
LOINQ
DEPAPITMENT,OF 81J
-ITY ATLANTIC E
EACH'
'OF
7
--- ---- INFORMATION
PtkMIT�� INFORMATION ------- LOCATION
Add i e810 04 SAILFISH DRIVE
1p I
mit Numbe��F 12772
ermit, Type ATLANTIC BEACH, FLORIDA �2233 ,
:MECHANICAL
LZOAL DESCRIPTION
ss of WorktALTERATION Twp,: 0
I I I * B, ock:,: Lot
WOOD�� FRAMt 0
nstr Typ,',,e Rn9l.
GLE FAMI, S onl* Subd: ,
o, osed Usre*. SIN cti
jor
il in 'o si�b4j
Dwe IS v a h, ROTAL PALMS
Est— Vabje 0.00
prov. Co t*
T tOk' 37'.00,
D 996
MER, 10D WIN 11m9W
k '
S
' APPLICATION PEE
ION T
17 .00
PERMIT
BOY
IVE :
vo�
Set"
PLORIMA SAI
0 ell( 9
F IMT ' -------
'0
N
REET
FLORIDA 32210
777",
gm#qE polma
NOTIC69—ALL C(�NCRIM FQRiW*AW FOCMNGS MI 19-T SIE
PFjWrr,V610 Six MONTHS AF rER DATE OF IS$
ACE,AND MUST BE
0 014DING MATEAAL,RUBS"AND 0,EBRIS FROM THIS WORK M JST NOT BE PLACED IN PUBLIC SP
C,�EAPED UP,ANO HAULED AWAy By,EITHER,CONTRACTOR 0 R WN�R
77:
A
CH
LAW C
coMPLY ITH THE Me 1116�i-1 FEN WR
p
Sm
MPAYINGTWICE fe
OWNE
REVOCAT,I
NGTO APPROVED PLANS WHICH ARE PART THIS PERMIT AND SUBJEC,T TO
E ACCO
07F I-APLICABLE PROVISION6-OF LAW.
IN
F R MENTS
F
00 J
BEACH�UILDING DEPARTMENT
BUILDING AND ZONING PECTION DIYISION
CITY OF ATLAN191�C 'EACH
ATLANTIC 09ACH. FLORIDA 32233
UMBER
APPLICATION FOR MEC ANICAL PERMIT —&ALL-lN
IMPORTANT — Applicant to complete all items in 'sections 1, 11, 111, and IV.
street Address:
LOCATION !�65i— S—q;L I)y
OF latermetial tire*#$: Setweeft C
64JILDiNG -- lke?"j And C
11. IDENTIFICATION — To be comploted by all applicants .
"' C0^t;e0r@ti0A Of Permit 960A fOr dO;A9 the work 06 described in the above itaterne A I we 1101`91)y agr a to perform said work in accord
"rs' ts"' is""ChOd 0`16"s 6*4 %P6Ci'ic4I;OA1, which are a Port hereof and in accordance with the CitY ofoJachsonvdla ordinances and stan'd'.Mrcd:
ei good pwoct,ce listed there;a.
Home ad 1
coaaroctw (hisO
Metter
Noo o en;� .
siviiistwov W, owner 7
4w Am"aW Aleat Architect ist Fooginser
m. 6040LAL WORMATM
11 OTHER CONSTRUCTION BEING Oo
Till$ WILDING OR SITE?
(D 0 Lp C) Nsfvftl 0 C40trw ut"
C3 0j YCS, GIV9 "UMBER OF CONSTRUCTION
0 00— — se-ifir
Y- i"M"MCAL BWMMff TO N OWALUD T As OF WORK
pow"'al's 400060ft 60 sill-P I tisas bed of Als faml Residential or 0 COMMerclal
a/ 0 Spew C3 Reasusil 01C,.tw a p6w Now Building
c-"W—i-s- 13 ftsean ID/CWW Existing ou"rig
0 Ovoct srefta; ludma—� roPql,*ACWWI of existing system
l4emilinew -Ally sf^ Now Installation(No system Prevlousty installed).
0 R46 4001 Extension or add-on to existIng system
0 C"�—v ftWW- C400411iii Oltsiar— epwity,
0 Aft Winue": No Am of beo&-
0 be-istw D MesiM 0
0 1W WACO FM OMW tW O"Ly
13
ago Wu
(3 LW-moft;a��
(3 UO&W ppewme vesm
0 1 A by------
13 04- —
LJFT ALL ZQU[Fhgwr
AS CDMDCTX*WIG AND REFRIG19RATWH EQVVMEM
Wedd MUsabsip
Y I-e
HEATU4G - Ft"ACEIL 1111ORAW F
Mtn&W''"'u"Is"1111111 M@Od NIssisball, Tn=
/.............. ................ .17 _!....................................................................
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:__2e� —Ir _19A,
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN OR DOI G THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN CCOR ANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCOR NC ITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
Ric,Af--e'd L-4-'ele-W'a o3
TER ELECTRICIAN
ELECTRICAL FIRM: !ASt I NATURE
NAME oi,�4,9/a o 5 4- —ADDRESS:. RFD—BOX
BLDG.SIZE - ETWEEN:
RES. �� APT. COMM- PUBLIC ( I INDUS. NEW OLD 04– REW.
ADDITION TRAILER TEMP. SIGNS SO. FT.
FEE
SERVICE: NEW INCREASE REPAIR (
CONDUCTOR SIZE AMPS-D-- Clo COPPER I ALUM.b:rJ.
SWITCH OR BREAKER !2,C)C? AMPS PH
? W Lf(-VO LT RACEWAY
EXIST.SERV.SIZE Z 0 0 AMPS J PH 3W :),VcVOLT 59i::;t RACEWAY
FEEDERS NO. SIZE iNO. SIZE NO. SIZE-
LIGHTING OUTLETS CONCEALEDL__ OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
SWITCHES 0.30 AMPS, 31-100 AMPS i I
INCANDESCENT
FLUORESCENT&M.V.
APPLIANCES --JBELL TRANSF
FIXED 0 lu- AMPLI
AIR H.P.RATING H.P. RATING
I
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHSI
MISCELLANEOUS
r7l
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT No.6288
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date May 16 19 84
Valuation$ RR-RnOF Fee$ 7 - r.Q 1
795CI
This perunit not valid until above fee has been paid to City Treasurer,a ul is [4 11 1 A 5/16/
subject to revocation for violation of applicable provisions of law. 6260 OMAN
This is to certify that—. ISENHOWER ROCIFING 241 1 IA 5/1 6/D
2126 Ralintin Circle
has permission tobddr_- RE-11ROOF AS PER PLANS-
Classification RESIDENTIAL 2 one
Owned by O'Malley
Lot Block- S/D
House No. 45451ilf ish Drive East
According to approved plans which are part of this pei mit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 No 0 Building material,rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
t or or owner.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
"50/'
t
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner 1,11a Ile >,/ Address— Phone
Architect Address— Phone
Contractor t, 1,(2d Address_ 2-1 Z-4 Phone 34
lot
License Number Expir ation Date
Lot # Block # Subdivision zoning
Street Between ) , "'—and -5�* 15,f/-0 side bP��Sl
Valuation $ Purpos IBu"Iding Type Const._1171111,101;�
Dimensions : Building Lot Sz.Footings
Sz. Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers Greatest Span
Sz.Floor Joists Distance on Centers Greatest Span
Sz. Rafters Distance on Centers Greatest Span
Heating Solid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical , rough plunbing and fire place
is completed and ready to cover up .
5 . Rough electrical.
6 . Final inspection.
In case of rejection, reinspection MUST be called SETBACKS
for after corrections are made .
In consideration of permit given for doing Rear Lot Line
the work as describad 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 0� Cal
in accordance with the building regulations (D M
of the City of Atlantic Beach. t-1 L-1
0 0
rt rt
L-1 V-1
FJ-
(D
Signature OWNER
ILDERA,��"
Signature BU �/ ,�S,(�- -e Front Lot Line
FLOODPLAIN DEVELOPMEN,,t INFORMATION
Type of Development : New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevatior
If located within a flood hazard zone (zone A) a survey must jbe
made after the slab has been poured, ceitifying that the "lowest
floor elevation" is equal to or above t�,e base flood elevation
established for that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department .
COMMENTS
Applicant acknowledgement : I understand that the issuance of this
permit is contingent upon the above information being correct and
that the plans and supporting data have been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No. 25-7-11 and all other laws or ordinances effecting
the proposed developemnt .
Date Applicant ' s Sigiiature
------------------------------------------------------------------------
Department Use
Survey filed with the Building Departme t on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative
CITY OF
11, 1 *&
4A",&c BeRaCA-IM14
office of Building Official
EQUEST FOR INSPECTION
Date Permit No.
A*M District No.
Time P.M.
Received
LocalltY,
J Jo
ob Address
Owner's Contractor
Name PLUMBING
BUILDING 0 RETE ELECTRICAL
RoughWiring 0 Rough El Air.Cond.& 0
Framing 0 Footing El Heating
Re Roofing 0 Slab 0 Temp Pole 01 Top Out Fire Place 0
Lintel Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Fr day-P.M.
A.M.
P.M.
Inspection Made- Final inspection
Inspector Certificate of Oc(upancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
App"wed by APPLICATION FOR ELECTRICAL PERMIT
C '1112- ,6 19
JT THE CHIEF ELECTRICAL INSPECTOR: DATE:—
T ANT NOTICE:
I IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH �' WORK AS DESCRIBED IN THE FOLLOWING, WE
14EREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE ATH THE ATTACHED PLANS AND SPECIFICATIONS,
V�HICH ARE A PART HEREOF, AND IN�ACCORDANCE WITH THI ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
7-
ELECTRICAL FIRI!: MASTER ELIECTRIC16M IQNATURE JOURNEYM
NAME 4;2 41Z�WLel ADDRESS: L—RFD----BOX
�LDG.SIZE ETWEEN:
RES,je,f APT. ( COMM.I I PUBLIC I INDU& NEW( OLD( REW.
ADDITION TRAILER ( TEMPA SIGNS SO. FT.
D FEE
SERVICE: NEW( INCREASE ( REPAIR
CONDUCTOR SIZE AMPS CO'PER I ALUM.( $6
VOLT RACEWAY
S�TCH OR BREAKER AMPS PH o<W
it
*IST.SERV.SIZE z 9v L RACEWAY
��ps pd, I W 0/vlo
EDERS NO. SIZE IND. iIXE -'�4 _I NO. SIZE
GHTING OUTLETS AL
CONCEALED OPEN TOT
OPEN �O
ECEPTACLES CONCEALED T
0.30 AMPS. 51-100 AMPS,
TwITCHES
I�CANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
9021TIONING COMP.MOTOR OTHER MOTORS AMPS CEILHEAT: KW-HEAT
0-1 OVER
TORS H.P. VOLTAGE PHS 140. 1 N.P. VOLTAGE PHS
ISCELLANEOUS
k-0- ae:E:��
kRANSFORMERS: UNDER 600 V. O�ER 600 V.
-7-177P
100H
DEWARTMENT Op a WING
CIT�'OP ATLANTIC AbH
PERMIt
I mroo
O%Tioo LOC,ATION .'INPOP—JMTION
f� it NUM4*r: 10059 454 SAILFISH DRIVE EAST ![
A&res's
e lit 'ATLANT1
rm e PLOMBIN0 , EACH, PLORIDA � 32233
a wo k: , ALtERATION "AL DESCRIPTION
nstr,"l Iiie. woOD PkjkAE Lot
6k Section�
die R
Toposed,, sfi4OLE FAKILY
� ,Tdonship
NO,
I I ings dode.. 0 Suh di v i 6W ROYAL PAtMSI
�061 00
timated V�
lue:
49
Totil ees:
Amount '00
:46rk' 0
x0a Wb,�, ,APPLICATION :FIES
okiwiv , - 5"o.
sit"':bIt"I VZ- EAST wj�,Tzft limtpkm PEA
$0.0
-ACK;- FLORID 3 SZW -C ZZ
$0
.0
w4c
R.S.
RADON ,G)k $0.of
AS
$0' 00
P,
A, dROS41 CONNECTION -0 0
FL. �3:2217
$0.0
' 14 ce Type., 0, SEC 11"PACT FEZ,
AOE� otrylt,0�0
CONST.,SURCHA
iso
w
NOTES.
Nona ALL CONCRETE FOO#A$,AND,,FOOTINGS MIJ 666RE PO*URINO
�Tb
PERMIT,VOID SIX MONTH E
S AFT[ ISSU
:Wt D[Nd MAtRI -1 �FROMITHJS WORK MU(
Ws RUBBISH ANDD iR, TNOTBE PLAPEP IN,POBLIC SPACE,AND MUST BE
-R, NT
LED'AWAY 131�EITHe `66 RACTOR OR ER
W,ARED UPAND
"E"
1414
co LY WIT THE 'MEC C
HMIC1,11 LIEN LAW CAN RESUL
'INGTWIC.E F '"BUILD ISIG IM R NTS
NER PAY 0 THE OVEME
"i OED TO APP Vfm"PL�Ni�W!HICHARE PART OF THIS PERM �O REV
8 , ACCOA64s�6
iT.ANb'SUBJECT T 60ATIOWPOR
�00U OF APPLICABLE ISKM&LAW.
L
TfC�84�A044��#UtLE)046"DOP�kRTMENT 000,00000D Oft'!* 14
0
4
j V,
7 7 tZ=-S
CITY OF ATL"TIC BEACH
APPLICATION FOR P ,UMBING PERMIT
JOB LOCATION: r
OWNER OF PROPERTY:_D,�/ Klos6k_
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
D;e,')4 Powers
ve., #84
TELEPHONE NUMBER: Jacksonwe, FL 2217
7
STATE LICENSE NO: cl:7c
TYPE OF BUILDING:
TYPE OF WORK: 4 c c
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. Cc rv-N&_dc-,-
TOTAL FIXTURE COUNT: — x $3. 50 + $15.00 $
----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHP.RN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECT :ONS - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING Up - (904) 247-5834
CITY OF
Office W Building Offi iar
Date REQUEST FOR INSPE ION
Time Pe m t No.
Received A. 7 -,7j
Job Address
Owner's
Name --------
BUILDING CONCRETE or
F aming ELECTRICAL�
Re Roofing Footing PLUMBING
insulation Slab ROLgh ECHANICAL
Lintel TemP Pole
Final Top out Heating
E Sewar
READY FOR INSPECTION Fire Place
Mon. Tues. Pre Fab
inspection Made Thur,, Friday
A.M.
inspector
FinE i irlspecti
Cer on
DalE'ficate Of Occupancy E:,