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1741 Seminole Rd (vault) CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY : PLUMBING CONTRACTOR ' — 7 CONTRACTOR' S ADDRESS: ' STATE LICENSE NUMBER: //)�A/ �� TELEPHONE : g 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 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 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 I s 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: 20506 Address: 1741 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: ATLANTIC BEACH Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/21/2000 Name: SAPIA Total Fees: 25.00 Address: 1655 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/21/200.0 Phone: (904)241-5591 Work Desc: REPIPE _____ CONTRACTOR S —7 APPLICATION FEES F.W. FAIR PLUMBING CO. PERMIT 25.00 Ins 'ons R wired OTHER - i t 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. day ( r 925.Br7 1 MANTIC BEA BUILD . CHECKS EPTDate: 8/21/�S et Receipt: @08274 I CITY OF ATLANTIC BEACH Rnn RFulmni F Dnen_&,n Awmr o�wnu r. " —#-3 &0-FAA.i - –bol i , PERMIT INFnRMerfnN_ i • •+•••+y�•e -.....--.--- I Permit Number: 20589 Address: i 1VId iNrVV%MF%i lain 1741 SEMINOLE RO_AD__ Permit Type: MEC.HANIrAi ATI A LXT'A. % :iJ-il•i Iv uirik..n, i lL JGLJJ Class of Work: ALTERATION Township: Range: Book: Pronimed Ileo- CINfy1 F PARAII V _,_ oiocC Section: j I Square Feet: I Subdivision: ATLANTIC BEACH Fater _Valle • ___=_e ❑e____.___ Improv. Cost: OWNER INFORMATION n�M la�.....a. nrnc�innnn Name: %JAMA Total Fees: 37..00 Address: 1655 SELVA MARINA DRIVE f A 1 LAN I IG BEACH, FLORIDA 32233 Date Paid: 9/06/2000 Phone: (904)241-5591 Work Desc: REPLACE HEAT PUMP AND AIR HANDLE_R ltJ1�l T KAP 1 OtC �- CATION FEES APPLI OCEAN STATE HEAT 8 AIR PERMIT 37,()(l I � l I j � I ! j j 1 i --FINAL --- --__ --- Inspections Required -- - -- j j, I 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 NII IGT RF rf Fnpr-n i ID AKin UAl a cn AIA/Av oy r1T1 Ir-0 #N/ ?L!-^A+...+ .+ =— _= - - - v i 1=i f.iCr♦'vyi'Q i iV1V 1%.0 %.#F%OWN T v C..0-rd—PL inii i H i I-ic CUNS I RUC T ION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB.IFr.T TO REVOCATION FOR ViOLA T ION OF APPLICABLE PROVISIONS OF LAW. I I I (� C�-� `� /_�•'� $37.00 14 j BEAC BUILDING DEPT. Date: 9/07/00 D1 Receipt: 0086162' IL:AM�NTKCCHECKS 15734 �0�008032�1®®rl nnj��, /nCITY OF /� 29/ --7191 Office of Building Official REQUEST FOR INSPECTION Date �`� v Permit No. _ Time t Received 1 -74 11 Job Addres Locality Owner's Name _Contractor BUILDING CONCRETE ELECTRICAL P UMBIN MECHANICAL Framing ❑ Footing ❑ Rough Wiring oug ❑ Air Cond. & Re Roofing ❑ Slab Temp Pole Top Out r ❑ Heating Insulation ❑ Lintel Final Sewer ❑ Fire Place Pre Fab READY R INSPECTION A Mon. Tues. Wed Thurs. Friday A.M. Inspection Made -------P.M. Inspector Final Inspection f I Certificate of Occupancy Date X�1/11'' //CITY OF fYKW� /3�-49LO?I- Office of Building Official REQUEST FOR INSPECTION Date �' L Permit No. Time A.M. Received P.M. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Wed. Thurs. Friday P.M. -5 T! A.M. Inspection Mae � G- P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ e/> Date BUILDING AND ZONING INSPECTION DIVISION CI I Y 017 ,1111.-nN TIC IMAC1 A rt.Arlllrr rrRAcll• r1.OnI11A S*ts. ----- APPLICA APPLICATION FOR MECHANICAL ITAMII' I,Uh11lt:I1 _ PAPOR TAN 1"-S/�I,I)licnnl 1c, cc�rnhloln all 1,16111, in saclions (, II, III, olid IV. I, LOCA stre.l �ddt.tr,`( I� $ �,vS?5..�._RD.- -- Of. (nlertetlin f� ---�— — — — IUILUINa v srr..ttt e.r,..n I h ST And_ - SuL.df.11len 11,,101"TIFICATION Y"o bo complef"d by all epplicenls -------------- In tonr:dr.•�:nn of pe..n:r qi_•n !nr rloin IL• Mnrl •r rl•,r,ril.•rl fn tl• sl.eo• rl.r•.n•nt ..• L•r• n,rV r o •rf.eNt'i hl•^r . 1 ,fret;l;t•Gonr Litt .r• • n•rf L•rAnl "------ 0 -- ► t t• C,r.,l ,r,•,•,�_ And In ettordAnt• ..ill Ile C;ly of J..{,onvill• r told wn;{ In etrn..l.nt. nrdlnent•r Andof 1401C riAnd.rrlr Ce.k.eler (hfn1) � C•nlr••I•rt flesu of M.rt.► Properly O-nt► _ Vi?ft& ure of 0-mot ---- M Avlko hed A49011 �_ St,nslvrs el Arehll•el er En?Ines► 111. CENE IWORMA11OA. _ type of test; fuel; U rlsclr;c 111 0111[11 COHl1RUCTION •[INO OOHR ON till! •u11,O1N0 011 site/ _1— U 661 --(J ll ("J N•Ivr•I U Control Utility - U Od IF Yter OIVe HumetH or CbtfolmucTIOH U dtAe♦ ,r+tffy h[11M11 IV. Lf"WIICAL pU1rmstir to 1! INIrAUJD Nn1unl of won►c (iro.:j. cetnp1910 Jill of tempoosnlr oil 6t1 of this (err") .-1 LI (leeldenllel or U Connnerclel 11..1 (] ,pee• L] RK•lii1 U ►b.. L.] Ilsw building CJ A:. CenrJ,RawL:et U Ilee,,. ( C.elr•1 •4 Existing Dullding U Me► iy.l•n.r ►fete.:•( �. lAttln.«c__ l%4 r1;Plsesm•nl of existing eye1•rn Afe.ItnY.., eepeelry — e.l.ne. LI New Inslellsllon 1No my"""Prsylously 1n.1•fln f) U �i1i9e'a1ip' (-J Extension or add-on to weling syslern CJ Coelinp ► C•p•tliy LU Ulher -. 9p�cily [AM ►ptinllet.! t1VTlr.r of I,esdt__ .616( [) llenlill (, Eu.•leler_ -- _-- ----- ._.—(AYrn16eri oRA• I.Y.rp. ?fill 9rAC1 i N1reJ1 ` ill, UIILY retl Pe"we vessel "' Arpterel byLL Equine pwr NIHItUNI1J[; AND RErRiCERAiIUN tgVIr"V"r _ -- _ ?faml+er V"If,r t`•wo.rrtMw f►AeA•1 ffuml+sr �� "ntlY A __._ �.-- --"-------�— — ----- 1llwnufwelunr (��) Irpte.twr -- CITY OF AT LANTIC BEACH RCOFiNG PERMIT APPLICATION JOB LOCATION: _� vl f S L) (3'11 11 U! 41- UL OWNER OF PROPERTY: RQ -e- HC S CONTRACTOR: c,�NC-r, 6ZC � McxS CONTRACTOR'S ADDRESS. 2_0 1 G kC r\ S C_� ( , -ZIP: STATE LICENSE NUMBER: R C_ 0 oti 13 L, C TELEPHONE- ZZf -GG S DESCRIBE WORK TO BE PERFORMED: R e r-c,v F -S h%'(\-S __j, VALUATION OF PROPOSED CONSTRUCTION I l G U MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: S'vVCRN TO AND SUBSCRIBED BEFORE ME THIS � DAY OF NOTARY PUBLIC Liability Insurance Supplied pdftk Amonft *� W COMMISSION N CC55=OWN Auguo 27,2= I1Vcr<ers Ccmpensaticn Insurance Suppliec FF�,,• BONDED TM TROY FAIN Y15UtiNICE.M4 Contractor License Information Supplied Occupational License Information Supplied PSR-3 14 1.6233 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFCRMATICN Permit Number, 16233 ��,Hress 1741 SEMINOLE ROAD Permit Tvpe:RE-R',_10F ATLANTIC BEACH . FLORIDA 32231 of Work :NEW LEGAL DESCRIPTION ------ --- Cc,nstr , Tvrr--:WCOD FRAME Block: Lot , Twig : provosed Use * Section* 0 Subd 0 Rna , Dwellinas : 1 snbdivision: Est , Value , 0 . 00 lmrrov . Cost , 2 . 100 . 00 Total Fees25 . 00 Axiount Paid . 215 . 0^ Date Paid: 4/07/1998 OWNER INFORMATION ------- APPLICATION FEES Name , F,:lBERT HRSTINGS PEP-MIT 25 ;LF ROAD Ad 1' '11 S'EMINC RTLANTIC EEACHFLORIDA pj,,one, goo CONTFACTCR !NFOR14ATION Name: MONAHAN ROOFING Addr: 4"A- SALTBUSH COURT -jA,'_'KSONVILLE . FL 32225 RC0047340 EXT) NOTES: 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 MECHANICS' 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. $25.0014 Ddtp_. 4t8?i988t Receipts@0462171 CASH ATLANTIC BEACH BUILDING DEPARTMENT 09100003221000 By: PSR-3844 09993 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -------- LOCATION INFORMATION -------- Permit Number : 9993 Address : 1741 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 32233- ,-lass 2233,-lass of Work : ALTERATION ---------- 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 : SO . 00 Total Fees : $25 .00 Amount Paid : 525 . 00 Pi*- Paid: 4 !13/95 RE` HANDLER - ---- OWNER INFORMATION -- ---- APPLICATION FEES ----- Name, B(,B HASTING PERMIT 525 . 00 A idres 1` 74-1 SEMINOLE ROAD WATER IMPACT FEE 50 .00 ATLANTIC BEACH FLORIDA 3"r_: SEWER IMPACT FEE S0 . 0P Phone: 9 )4? 246-67^1 WATER METEF.ITAP 50 .00 RADON GAS-H .R . S . $0 .00 ------- CONTRACTOR INFORMATION - RADON {CAB 5% $0 .00 Name ' HUXHAM HEATING & AIR CAPITAL IMPROVE . 50 .00 Address : 21006: EEACH BOULEVARD SEWER TAP 80 .00 JACKSONVILLE BEACH , FL CROSS CONNECTION $0 .00 License: RA`-,(-;-- 1352 Type : 3 SEC H IMPACT FEE 50 . 00 CONST . SURCHARGE 50 . 00 SCHARGEf ATL .BCH . S0.011- 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 Date: 4/KK) 3/95 1 005.00 14 Date: 4/13/'35 41 rcpt: 0045351 DECKS 1845 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 31a11 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11, III, and IV. LOCATION Street Address: J j OF Intersecting Streets: between And WILDING Sub division II. IDENTIFICATION — To be completed by all applicants In cons derotion of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance .ith the attacq}d glens and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good pract ce fisted therein. Neese of Mechanical J Contractors r� Coat►actor (►rmt) ✓ //q/l Master Meow .f property Owner s4isature of Owner 7 Signature of or Awtkwr sed Agent Architect or Engineer Ill. GENERAL INFORMATION A. Tyre of Isoa ti ng fool. B. IS OTHER CONSTRUCTION BEING DONE ON Q Eloo^c THIS BUILDING OR SITE? O Gas—O V ❑ Natural Q Control Utility Q Od IF VES, GIVE NUMBER OF CONSTRUCTION PERMIT O other — Specify IV. M11111ICKANICAL BW M INT TO EE INSTALLED NATURE OF WORK (yr"r' Complete A0 of compoaaats eA back of this E] Residential or ❑ Commercial (Q Most ❑ Space ❑ Recessed O Coetnsl O Flier ❑ New Building ❑ Air Coed4ioai*9: ❑ Rosa Q Co" S Existing Building ❑ Dep Systom: Me TwckID Replacement of existing system Maximum capacity ❑ New Installation(No system previously Installed) ❑ Refri9eti6e4 O Extension or add-on to existing system ❑ Cooling towel: Capacity ❑ Other — Specify S� ❑ Fie oprinlders: Number of hoods Q bovotw O Maelift ❑ EK*6 (" ) TRIS VACS FOR OFr>N;E USE ONLY O 66jowse ptr..a (""abet) (R+«iwEl Q Teak (nuabor) Remorb Q LPG contaiwrst (number) Q Uefired ptessssre wssa O bass. lsomif Approval by Defa ❑ ONw — Specify permit R•• LIST ALL EQUIPMENT AM CONDMONING AND REFRIGERATION EQU1PbW4T r XumDer Vtslta DesexIDLlOta Me"NUMble!< TKaitt[a4l1tlar (Zbas) �o t � o c HEATING . FURNACES. BOILERS. FIREPLACES PSR-3844 6628 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Permit Number : 8625 Address : 1741 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3223? Class of Work: REMODEL ---------- LEGAL DESCRIPTION ---------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed U=-- <1 nTAT..T 7T • -L I Dwellings : 1 Code : 0 Estimated Value : 50 .00 Improv . Cost : 50 . 00 Total Fees : 525 .00 Amount Paid: S25 .00 Date Paid : 7/12/94 ?dame : ROBERT HASTINGS PERMIT 525 . 00 Address : 1741 SEMINOLE ROAD WATER IMPACT FEE SO .00 ATLANTIC BEACH , FLORIDA 32213 SEWER IMPACT FEE 50 . 00 Phone: { - WATER METER/TAP 50 . 00 RADON GAS-H . R .S . $0 .00 ------- CONTRACTOR INFORMATION ----- RADON CAB 5% 50 . 00 Name : STEEG PLUMBING, CAPITAL IMPROVE . 50 . 00 Address : 1.601 MAIN STREET SEWER TAP $0 . 00 ATLANTIC BEACH FLORIDA 322 CROSS CONNECTION SO .00 License : CFC037196 Type : 4 SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .00 SCHARGE/ATL . BCHa 50 . 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 MECHANICS' 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. ATLANTIC BEACH BUILDING DEPARTMENTCWCFIS K�t�tRn3tr� - By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : �7 OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR h AND ADDRESS : TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: �C— TYPE OF WORK: C�o7�- t� /Ls i��► 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 TOTAL FIXTURE COUNT : x $3 . 50 + $15 . 00 ---------------------------------------------------------------- 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 — ' 104 ) 111-5826•• CITY OF ATLANTIC: BEACH 1'E1?M1T APPLICATION ROOFING Address: :50C Phone: Lot # ©lock or Unit # Subdivision Contractor: Address:./0 90 GdOoril �.C- Phone• -�V&7 84' 1,340 State License No. (M 7/ S��IStcsr. '� �� 79ri1 Describe wor)c to be done: ials to be used: Z _ 3 7-�e'b Snq Signature OWNER: - ✓G�� ate: qL / Signature CONTRACTOR: i PSR-3844 8638 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ LOCATION INFORMATION --- Permit Number : 5638 Address : 1741 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH , FLORIDA 32233 Class of Work : NEW ---------- LEGAL DESCRIPTION -------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellinas : 1 Code: 0 Subdivision: Estimated Value: 50 .00 Improv . Cost : 50 .00 Total Fees : 51250 .00 Amours Pa d -, 51250 . 00 D aid, 1 94 wori JPA' T FEES TO CONNECT TO CITY SEWER SYSTEM ---------- OWNER INFORMATION -------- - ---- APPLICATION FEES ----- Name : ROBERT HASTINGS PERMIT SO . 00 Address - 1741 SEMINOLE ROAD WATER IMPACT FEE $0 . 00 A?'I,A.IT l d BCH, FLORIDA 32213 SEWER IMPACT FEE S1250 . WATER METER/TAP RADON GAS-H .R. S.. T1%T17npM2SmTn}1T __ _-- RADON CAB 5% $0 . 00 Name , STEEL PLUMBING CAPITAL IMPROVE . SO . 00 Address : 1601 MAIN STREET SEWER TAP 50 .00 ATLANTIC BEACH FLORIDA 322 CROSS CONNECTION $0 .00 I.;. -ense : CFrni7196 Type : 4 SEC H IMPACT FEE $0 . 00 CONST . SURCHARGE SCHARGE/ATL.BCH . SO 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 MECHANICS' 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. ATLANTIC BEACH BUILDINP DEPARTMENT owJOo * W0000(K) $1250.(K) YJ Date: 7/14/34 of Rcpt: 0067223 CHECKS 4498 By: