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317 Seminole Rd (vault) 7/ 0S CITY OF ATLANTIC BEACH, FLORIDA L Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / J -2 V 1976 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF "LAW F EACI!1-0RD.i IANCES., ALLSTATE ELECTRICAL CONTRACTORS, Inc. , Post Office Box 8764 k •••• larksnrvilie. Florida 32211 ELECTRICAL FIRM: M•AT ELECTRICIAN SIGNATURE .• ; ■ `I=' Y (� NAMEl� IiEt oPirlEp r CoieP ADDRESS: / 7 JE-44 /A/2)L C_. '6'RFD BOX NAME BLDG.SIZE BETWEEN: RES. APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( ► NEW' ) OLD ( 1 REW. l 1 ADDITION ( 1 TRAILER ( ► TEMP. ( 1 SIGNS ( ) SO. FT. FEE SERVICE: NEW 1,14- INCREASE ( 1 REPAIR ( ) CONDUCTOR SIZE 4/0 AMPS.= 0 O COPPER ( 1 ALUM. M 'A w /L 4/Z SCL-) SWITCH OR BREAKER 0O AMPS / PH __ W VOLT .5/---4 i RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 1,-- CONCEALED OPEN TOTAL /20 RECEPTACLES 3/ CONCEALED OPEN TOTAL 3 /0 O-3O AMPS. 31-100 AMPS. SWITCHES /6, / 4,o INCANDESCENT /.2. / 10 FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES 7 BELL TRANSF. I 2. 75- AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT l 3 i=1A e i /`-- fat) c. .0© 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA . NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN r I FORWARDED C ---- -- $ TOTAL FEES l6 'SJ 71e- CITY OF ATLANTIC BEACH, FLORIDA Approv.d by APPLICATION FOR ELECTRICAL PERMIT L TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLAIJIP ikkAcli,QROUNANCESS ALLSTATE ELECTRICAL CONTRACTORS, Inc. III Office Box 8764 ,arkc nnvi!!F, FInrida 32211 ELECTRICAL FIRM: M• # ELECTRICIAN SIGNATURE ..• ; ► LS:' NAME/VEPTN4iEJ) veze,m4NrCOiE'17 ADDRESS: 3/.1 Sera/,u0i_ 44. • RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( ) REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP.M. SIGNS ( 1 SQ. FT. SERVICE: NEW( 1'/ INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE -7L-1/ AMPS t o COPPER ( 1 ALUM. $).___. ,-,2,00 %LQZ44U SWITCH OR BREAKER 6"G AMPS / PH 'W VOLT • RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN _ TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 1 0.100 AMPS OVER APPLIANCES I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS_ MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. 1 MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED $ TOTAL FEES -==.?. DC ADDENDUM This plan approved subject to the following provisions being included in the building: In hollow masonry unit construction, each unit cell shall be reinforced with at least one No 5 bar at all corners; poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam. All wood truss rafters---roof construction shall be securely fastened to the exterior walls with approved hurricane anchors or clips. Footin s shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened on metal saddles with wire. Footings shall be 20° wide and 8" thick minimum. The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details of the plans and specifications and agrees to comply with the intent of this addendum. APPROVED BY: r rr- CITY of ATLANTIC BEACH ontractor wne RUJLD1NG AFEICE a 74 4 , * FOR OFFIC E USE N LY 5. / 7 E5.62axeik�< Date // ?19 /s Permit # $...6 CITY OF ATLANTIC BEACH Valuation $ ,?SD9D� r FLORIDA House # 3/7 ...1 46° .- - APPLICATION FOR BUILDING PERMIT ‘e1‘e / 5...s-; 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 Beach, 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 complied 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 is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. /� / Date // ' ii , 19..7 .. Owner ,4 P T i.14 Del/G-'LOP/�7C77J? C- e Address 2 r2 i (66'. �f".r_A:E �c�-• S x Tele hone No "72-!`26l`6 Architect.__.r)..c�,-, a S"i 4L., Address P 2 t —`'x''C Telephone No.72/—.17 V U Contractor Builder-,54"?e: 4 s ('w42 7C Address Telephone No Lot No. & / Block No. Sub Division S 2Z Sr9LT,5) Zone Street Side Between and Sts. Valuation $ 2.4 0-21"--C-> For what purpose will building be used.t S-Z-Ce)tiCG— Type of construction' 'R.✓6-' exr«V% Dimensions of Building 2-r X S) Dimensions of Lot_.....�"Z1 X / Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft Type Roof-/f5Ph14L T How will Building be Heated? Cc ti-f`A �J,. Will Building be on Solid or Filled Ground? $ot•'D Size of Ceiling Joists l•-• rS , Distance on Centers , Greatest Span " Size of Floor Joists , Distance on Centers , Greatest Span " Size of Rafters �tCK-s-5 , Distance on Centers , Greatest Span " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. .7 a 3. When steel is in place and ready to pour beam. 4. When framing is completed. Qa 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. rn i2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 building regulations of the City Ian:� ip _ -e. Address z�2 [ Z Z/L Signature of Builder.._ � Signature of Owner i.- Address CITY OF ATLANTIC BEACH APPLICATION FOR FLUN.TBING PERMIT PERMIT NO. ate : LOCATION/ A ./!) L N o 4"- surer LOT NO.J) e I BLOCK NO. S/D Soi/f k OWNER - ! _ MASTER PLUMBER . , OK • - Bldg. BUILDER OR CON 4' :CTOR �cn �,.,�c DSO,. Permit_N?o.. TYPE OF BUILDING ), , I SINKS LAVATORY / BATH TUBS URINALS t CLOSETS FLOOR DRAINS / SHOWERS / WATER HEATERS DISHWASHERS DISPOSALS / OTHER i(AtiNdr? C1 TOTAL FIXTURES_ @ *n1 , 00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size-.and location of all the soil and vent pipes, and the numbar and location of all fixtures, (in acaordanae with OrCin_anae no. 188 of the City of Atlantic Beaoh, Florida ) must be shown on bank of appli- cation and be approved by the Plumbing Inspeotrr, DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED REMARKS FINAL INSPECTION: CERTIFICriTE ISSUED : PSR-3844 10 3 3 0 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- — LOCATION INFORMATION Permit Number : 10330 Address : 317 SEMINOLE ROAD Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Work: REPAIR LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 . 00 Improv. Cost : $0 . 00 Total Fees : $25 .00 Amount Paid: $25 . 00 Date Paid: 6/20/95 rT,X OWNER INFORMATION ---- ---- APPLICATION FEES ----- Name : MIKE WILSON PERMIT $25 . 00 Addrsr ' 317 SEMINOLE RA ; WATER IMPACT FEE 50 . 00 ATLANTIC BEACH . FLORIDA - 3 SEWER IMPACT FEE $0 . 00 Phone : ( 904 85 5054 WATER METER/TAP SO 00 RADON GAS-H .R. S . $0 .00 CONTRACTOR INFORMATION RADON CAB 5% $0 . 00 Name : JEFF ROBERTS PLUMBIN; CAPITAL IMPROVE , S0 .00 Address ' P . BOX 326 SEWER TAP 50 .00 PONTE VEPRA BEACH , FL 3;: CROSS CONNECTION $0 .00 License : RP0037$99 Type: 4 SEC H IMPACT FEE $0 . 00 CONST _ SURCHARGE S0>,00 SCHARGE/ATL .BCH . 80 .00 NOTES: 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 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT , JOB LOCATION : =-5//7 OWNER OF PROPERTY : /24 -t., tV PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: k1^DX 37 TELEPHONE: 7047/- ?..5---C—Ore---f HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS r— DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER 1?Et'/1/h' TOTAL FIXTURES: Alle7/1 x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: ----- _ SIGNATURE OF CONTRACTOR: C.;"��// /�i/��`���_ 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PREPARED 6/04/03, 8:14:30 INSPECTION TICKET PAGE 11 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/04/03 ADDRESS . : 317 SEMINOLE RD SUBDIV: TENANT, NBR: RE-ROOF, 22SQ ROOFING CONTRACTOR : LIBERTY ROOFING, INC. PHONE OWNER . . : CHATANI, ANDREW PHONE : (904) 716-6413 PARCEL . . : 170437-0000- - APPL NUMBER: 03-00026167 ROOF PERMIT: ROOF 00 ROOF PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 17 01 5/30/03 LJH BD SHEATHING TIME: 13:00 6/02/03 AP 16 01 6/04/03 LJH BD FINAL TIME: 08:00 COMMENTS AND NOTES PAGE 1 INSPECTION TICKET DATE 5�30�01 CITY ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEACH ------------------------ ADDRESS , : 317 SEMINOLE RD TENANT, NBR: RE-ROOF, 22SQ ROOFING PHONE CONTRACTOR : LIBERTY ROOFING, INC. PHONE (904) 716 6413 OWNER . , : CHATANI, ANDREW PARCEL . . : 170437-0000- - APPL NUMBER: 03-00026167 ROOF - ------------------------- PERMIT: ROOF 00 ROOF PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COM NTS __________________ ----------------------- - -- -------------- -- 17 01 0 TIME: 13:00 I ) 3137/1 --- ------------------------ -'-- COMMENTS AND NOTES ---- i 1 �', I 4:t` CITY OF ATLANTIC BEACH N -SIB 800 SEMINOLE ROAD - ATLANTIC BEACH, FLORIDA 32233 .5 V INSPECTION PHONE LINE 247-5826 ' 4-013.19 Application Number 03-00026167 Date 5/30/03 Property Address 317 SEMINOLE RD Tenant nbr, name RE-ROOF, 22SQ ROOFING Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 4500 Owner Contractor CHATANI , ANDREW LIBERTY ROOFING, INC. 317 SEMINOLE ROAD 4026 FIELDS BROOK LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 716-6413 Permit ROOF PERMIT Additional desc . . 00 Permit Fee . . . 83 . 00 Plan Check Fee . Issue Date . . . Valuation . . . . 4500 Fee summary Charged Paid Credited Due Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 1 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. !` P=. BUILDING OFFICIAL ucIL. `7 RECEIVED Viil.A.p.r C I i T CF ATLANTIC BEACH / " % BUILDING & ZON'NG i'" P} . CITY OF ATLANTIC BEACH , MAY 2 8 2003 -4J,il 1� ROOFING PERMIT APPLICATION Dateg"7Q ---i Job Address: 3 1 7 56M/A/NE fle/1,/2 i9 TG ( E/1 ! 'i'.iM ,3:2AZ? Owner of Property: /94/D/i)f/1I C/I4 144,// Address: 3)7 sgmmiefez Ro4D Telephone: I/6.-(y/,3 Contractor: I-JOINT)/ ,/ yg,C//1/6 //J/G. State License Number: CGG/3o?56/5 Contractor's Address: '/th?6 AJR_DORee Cf/ir,z- (1AC/kiwilj/1/.LE I%e/N 3A:70.73 Telephone: 9'61y n2667 _ 06047 Fax: 9 a2-Q 7 27 Scope of Work: /CAie QFf of ? /QU©.c7-/6 . RcI'/dam o7a`s47 /ce //10". Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: 9 4: O 'C Product Name(Example:Timberline): C r 020 /9R Manufacturer(Example: GAF): CekrA/41 T�6Z7 ASTM Designation(s): 1) 3/6 Req d Inspections: athing Final Signature of Owner: ' C' Date: J_ Signature of Contractor: 1c Date: `� Z p,3 n I AS TO OWNER: Sworn to and subscribed before me this day of ,20 . State of Florida,County of Duval Notary's Signature: ryvv„, :, 1_,} 'A..1 ---' '.*• Bonnie Willenbucher Personally known +: f_� .:__ MY COMMISSION# DD136813 EXPIRES ❑ "'' Produced identification ,�'•-';: )u 25,2006 �..T,",'OF c'' BONDED THRU TROY FAIN INSURANCE,INC Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 . State of Florida,County of Duval Bonnie Wil�1 t3 Notary's Signature: r/"�n -. l�3�.L2..�L• ?rk, MY COMMISSION# EXPIRES ��. .. ?+. 'r11 _ BONDED*MUTROYFAIN INSURANCE INC- Personally known H �•'` ❑ Produced identification Type of identification produced 800 Seminole Road .Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2/21/03 CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address Date f. t? • Heated Square Footage @ $ per sq ft ..= $ Garage/Shed er .sq ft • q = $ Carport/Porch @ per sq ft .= $ Deck (.� @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: S LKC $ �� .Total Valuation 1st $ ee ,u $ Remaining Value . $(5-.°� per thousand • or .portion thereof f . TOTAL BUILDING FEE $ 5 S 1/2 Filing Fee $ g . (. ) Fireplaces . @ , $15 . 00 $ . BUILDING PERMIT FEE $ -2) WATER IMPACT FEE $ . SEWER IMPACT FEE . $ ' WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ • ) -RADON (HRS) .0050. $ SECTION H PAVING ( ) $ • . HYDRAUL.IC SHARES $ . CROSS CONNECTION . $ • ( • ) SURCHARGE .0050 $ OTHER $ .GRAND TOTAL DUE .$ 3 co ADDITIONAL PERMITS OR FEES : .Mechanical • .Plumbing Electric/New Electric/Temp ;SwimmingPool • Septic Tank ; Well ; Sign - Finish Floor Elevation • Survey ; Other CALCULATIONS and/or NOTES : • • CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Jj <L) ATLANTIC BEACH,FLORIDA 32233-5445 V\ TELEPHONE:(904)247-5800 r z J FAX: (904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # C L > 1 Applicant: Li b c r -( KM.(, Address: 31/ S t m I n i r (� Project: re,-rcc,P &a2-- 5� /lour application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Lt,c Date 5 • Contractor Notified Date I I I CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION.INFORMATION Permit Number: 19437 Address: 317 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 1/11/2000 Name: CHATANI, ANDREW Total Fees: 25.00 Address: 317 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/11/2000 Phone: (904)241-6413 Work Desc: REPIPE CONTRACT-67 R(S)q171% " :APPLICATION FEES LARRY TEAGUE AND SONS PERMIT 25.00 pectiRiequi�ed FINAL 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 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. $25.88 14 _ Date: 1/12/88 81 Receipt: 882558175 NTIC BEA H BUILDING DEPT. 88188883221888 T2LL CH J I CITY OF ATLANTIC APPLICATION 1, r �. PLICAT OV r OR PLU?�.3Th'G P^P, �-T JOB LCCAT_ON: ✓`1 S tM, 1_ L ii- -) O'r:NER OF PROPERTY:i9A/aA 'i ��} � / _TELEPHONE NO LARRY TEAGUE PLUMBING .��1�'i��� Pr Lit_ING CONTP aCTOR CONTRACTOR' S W430 ,9Va/4 STATE LICENSE 'TUMBES CFC056776 TEL-?HONE 1' HOW MANY OF THE FOLLOWING FIXTURES INSTA:,LED SINKS SHOWERS LAVATORY _ WATER HEAT:-RS . BATH -U2S DIS :ASzEE:S URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS S-WER WATER v REPIPE OTHER TOTAL FIXTURES: x $3. 50 1 S 15. D0 MINIMUM PERMIT FEE - S25. 00 SIGNATURE OF OWNER: / SIGNATURE OF CCNT' 'T• V o p INSTALL•aTION OF PLUp4BING 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