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2001 Seminole Rd (vault) CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD j v ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F Application Number . . . . . 09-00000049 Date 1/14/09 Property Address . . . . . . 2001 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2340 ---------------------------------------------------------------------------- Application desc REROOF ASTM 3462 30 YR ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MCKINNON, DAN OWNER 2001 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 41 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2340 Expiration Date . . 7/13/09 -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 41 . 00 41 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 41 . 00 41 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Y yas->J r CITY OF ATLANTIC BEACH ,I y- J--] _.. .I -`� - 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 y OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPT(PCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY - a •n * j � 2 VALUATIONOFWQRK .;t 1s`,�,y� ;�_,�,, 3�;SQ FT,UNDERROOFst ��";�y 4;LEGAL`DESCRIPTION � ° x r� rz t +s,.. 5-,,CLASS OF WORK s _#" ' " +?;:,• s- 6 USE OF'STRUCTt]RE n ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL e.FIRE'SPRINKLERi9Z r` s " ;,,�,!,'"'•"`''ba'_- "-, vG ` �.,• "f ❑ALTERATION ❑ACCESSORY BLDG. - -` er,7`DESCRIPTION OENl012Kv wu-„_ . _.._.z ��� )2- -pcla ❑POOL/SPA EJ YES ❑N/A ❑MOVE ❑OTHER O PROPERTY OWNER: " CONTRACTOR a, n_.: ARCHITECT(ENGINEERt�'C f.: �N^AME �- �a/,„ j/\J�5(1� 15.COMPANY NAME: 23.COMPANY NAME: ikA 16.NAME: 24.LICENSEE NAME: 10.ADDRESS' 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: � �� 26.ADDRESS: 44-1— -?,6-t-4 CV/ 5�f�►!/v�L G4. 11.OFFIC PH E: 12.FAX NO.: 1 OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: jOya �t'�r 7 sz7 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: �1A+J..ItICKaNa/ati n7 T A10 FEE SIMPLE.�TITLE HOLDERS,r BONDING COMPANY MORTGAGE LENDER. QF OTHERTHAN OWNEF� w- 31.NAME: 33-NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36rr R•?S �/ V i Application is hereby made to obtain a permit to do the work and installations as indicated..CJI certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: * * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR [PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �� 1 r � 01111PIER or`AGEN1- CONTRACTOR . ,`x,;,,'J, •_ _�. Q Agent,Power of_AttomeyorAgency LetterRequi7ra�d) Signed' Date: "1 Z Signed Date: 12-12 U Before me s._1 y of 20djin the county of Before me this day of ��✓"- 20oi in the county of Duval,State of Florida,has personally appeared Duval,Stat Florida,has pe onally appeared , 2\ r-�. - v�✓�o✓i � � \ div`L.� �v�Vyf��� herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. `\�, \ Nota Publics Large,State of County of UJ Notary Public at Large,State of '� ,County of\ �J Notaryl� Personally Known �_ 11P rsonally Known ❑ \\ Produced tdentificatio /,e —n 1� L7 Produced Identification- Notary Sig/nature: Notary Signature: ;'•""" DONNA G.HAMBY �6 T '�a� n+ DONNA G.M%y * .= MY COMMISSION#DD 783649 �3 =' ► MY COMMISSION k DD 783649 EXPIRES:August 29,2012 EXPIRES:August 29,2012 P,(,,,,,aBcnded Th u Notary PuGhc Un.env tern 'f c?. 'ded Thr.Nota Pubk Un n COAG FORM BLDG01:REVISED:11101 ry__ dermiters �O 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. 24103 Address: 2001 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 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: -5115/2002 - Name: MCKENNON Total Fees: 57.00 Address: .2001 SEMINOLE ROAD Amount Paid: 57.00 ATLANTIC BEACH, FLORIDA 32233. Date Paid. - 5/15/2002- : Phone: (000)000-0000 - Work Desc: RF-PIPE 42 FIXTURES CONTRACTOR(S ' APPLICATION FEES STEEG PLUMBING PERMIT _ 57:00 W. -Att:5 1--fit•- h.� _' _ _ � _ I _ii`y - - . '� i �vi,� �� - _ - � _ _--'--_• -:1•[• - ..ice -'r-�.'��: ma. s x CTION NOTICE _ . - .. `` _� �-'s�.S-s� t y�•.�^.ss-fit �s =r.�'_ - s.�=�-^���, �.,.--"-..� ``*.�` ,ivgfis-,� �'�"' �• •:...a W. �. „H x_ .ssv'a"K'�_ :i�i.L. rt -�. -.� -_.,sem BUILDING MATE "�' PUBLIC SPACE, AND MU S _ _ _ ' _ OWNER "FAILURE TO CO7K _ = THE PROPERTY OWN E _ E _ w `` ISSUED ACCORDING TOA _ EJECT TO REVOCATION _- _ _ _; FOR VIOLATION OF APPLICA - _ tlper:'DSNITH Jype:.00 Drawer; I .- Date: .=5/15/82 01- Receipt no: •57996. c 1+1 PER11IT5-BtfILI) NG 1 $57.88 ATLANTIC BEACH BUIILDINO'DEPT:: CK CHECKS . : 5178 $57.68 i CITY OF ATLANTIC BEACH APPLICATION FORP``LUMBING PERM IT JOB LOCATION:- OWNER OCATION:OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE . LICENSE NUMBER: Cit_Ca 2 71Y TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST .FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: r Z x $3. 50 + $15.00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ------------------------------------------------------------------ INSTALLATION ---T-----------------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 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000215 Date 2/12/09 Property Address . . . . . . 2001 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCKINNON, DAN REESE ' S ROOFING 2001 SEMINOLE ROAD 1324 CORMORANT COURT ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259 (904) 772-7663 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 51 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4200 Expiration Date . . 8/11/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 0 9 P7r� •.`` 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF ;Z06 t 5011/j/&e R) k -AcW Ft 3zz3 z0,0 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: I❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A !J[ ❑MOVE ❑OTHER 10 NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: /_/a ,/ 1COMPANY NA Mj � 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: j p,> I Sim/nizL-V " CL�C>` `1/ }�am z L 1-3 18.ADDRESS: �'1 `\ 26.ADDRESS: fJ M` (l 7 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21. ELL PHONE: l 29.CELL PHONE: l 14.EMAIL ADDRESS: 22.EMAIL A RESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all wont will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Date: Date: Signedr o6, Date: v C Signed:` Before me this day of e-bll'LkCLV ,2009 in the county of Belffore me this�day of �0 ,2009 in the county of Duval,State of Florida,has personally appeared uYal ,ta� o F has person appeared CY herin by himself/herself and affirms that all statements and declarations are d a r ifn by hims f h rself a ms that all statements and declarati�r���li���� true and accurate. true and accurate. \� NE M''' Notary Public at Large,State of County of l� otary Public at Large,State of ,County of Personally Known �I ersonally Known :' �ajluary�j01, i ❑Produced Identificatio - � ❑Produced Idents do I ` •O Z Notary Signature: yt Notary Signatur Ga, 6�d 26 OF FLORIDA NOTARY PUBLIC STATE /i/�osT ....t..s,..\�Q Tammy L. Casaus ��'''�%i OFF 'N`#'\ BLDG01 Permit Application Bldg:REVISED:12 Commission#DD501293 Expires;; DEC. 21, 2009 Bonded Thou Atlantic Rending co.,Inc. JUN-26-2000 04:37 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT State of f2°R���— Tax Folio No. County of_� TO Whom It May Concern- The undersigned hereby informs you tbat ivlprovements will be made to certain real property,anal in accordance with Section 713 of the Florida Statutes,the following information is stated in s NOTICEJN( F COMMENCEMENT. '/ Legal ncscriptian of property being improved: / d bv� IW jyy/1 ik a� �i�/C_ T aoa Address of property being improved: 100 ( SEM/l�.a�- 7z7-33 General description of improverncuts: 96 Owner: > 1 C T MC K/ rl Addmss: 9c�sL'�C Owner's interest in site of the improvement: �R Fee Simple Titleholder(if other than owner): . Name: _ cam- C Contractor: 4.�5 � i`c�� _ u1 Address- Telephone No.�&-)- Fax No:, Surety(if any) Address: —Amount of Board S _ Telephone No: Fax No: Name and address of any person.making a loan for the cowttuction of the improvements Name: - Address: Phone No: Fax No: on within the State of Florida,other than himself,designated by owner upon whom notices Or other docurr►cnts may be Name of pets — served: Name: Address: Fax No: Telephone No:` ,;lf, owner designates the M-Owing person. to receive a copy of the Lienor's Notice as provided in In additiSection on to blm 713.06(2)(b�F1.o6da Statues. (Fill in at Owner's option) y Name: Address:_ Telephone No: Fax No: unless a different date is Expiration date of Notice of Commencement(the expiralaon date is one(1)year from the date of reeosdvag specified): TWS SPACE FOR RECO"ER'S USE ONLY OWNER e _ Date: r nLr — Signed - _day of in the County of Duval,State Doc R z00yu.,44aj,uR SK 14i7� Pape t4u. gyre this Number PaA .1 Of Florida,has i?a+sonally appeared Recor60d 02n X12009 at t I:01 Ann, notary Public at Large,-S=e of Fl n Cctgnty of Duv JIM FULLER CLERK CIRCUIT COURT CUVP.L My commdssion expires= / 2''0 or COUNTY Personally KWwn'— RECORDING 510.00 pmduced ldcntirc�ion. Q(J$f1C Tamm Casaus Cotnmfss on#DDS01293 a piens:, DEC. 21, 2009 Bended 71lu Adantre Bonding Co.,I= CITY OF 800 SE'.bIINOLE ROAD — - — ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247.5800 FAX(9(4)247-5805 Date : �rOL! / fid< <- �t rs T, L (ice Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main $ Water Meter .- Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ Sewer Impact Fees - Funds future expansion of the sewer plant $ 1'2S-(0 i2l � Water Impact Fee - Funds future expansion of the water plant S Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, �%-c cr � - JAI', — Don C. Ford Building Official DCF/pah PSR-3844 15 G3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 0 0-7 �4- ------- LOCATIO 1� INFORMATION PERMIT INFORMATION :1.,ddress : 200 SEMINOLE ROAD THRU 2009 �?ermit Number : 15663 Permit Type:UTILITIES ATLANTIC BEACH , FLORIDA-32233 ."lass of Work:NEW --------- LEGAL DESCRIPTION -- - ----- - Constr . Type:WOOD FRAME Block * Lot , Twp * Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna: Dwellings : 0 Subdivision: SEMINOLE DUNES Est . Value : 0 . 00 Improv , Cost : 0 . 00 Total Fe-7 , 6 , 250 .00 ?irnnlinf- Pa6 . 250 ,00 D 0 0 1 t ao03 X005, 10© -7 0 k F f5 R 2 H-4 e�i 9H 2 el 19 9 5 UN f T-90— OWNER INFORMATION APPLICATION FEES 0 .00 lame, SEMINOLE DUNES PERMIT Addr ! 21001 SEMINOLE ROAD WATER IMPACT FEE ATLANTI4' BEACH , FLCRTnA ',727,1 SEWER !MPACT FEE r,hone: ( 000000-0000 ------- CONTRA,".TO-R INFORMATION Name ,, PROPERTY OWNER Addr : L i 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.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC UE I RTMENT By: NTIC BEACH BUILDING(LDING • f�i-3 l CITY OF ATLANTIC BEACH ` APPLICATION FOR WATER CUT INS APPLICATION IS HE MADE FOR(.D- WATER CUT-I.� AT THE FOLLOWING ADDRESS FOR _ -UNITS . CUT-IN CHARGE OF STREET NO. LOT BLOCK _SUBDIVISION ACCOLTNT/NUMBER 163 /BUILDING DEPARTI T DATE METER NO. DATE INSTALLED__ _- c 3 &® a j� PLUMBING [,'ORY.SHEET SINKS SHOWERS - DISH,.'ASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS _ OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUP.EMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY [NATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF 4QJ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (I UNIT) - WASHING lrIACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) ( 4U'NITS SHOWER STALL, D0.•fESTIC BATHTUB (W./OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY �7 BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) _ KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) 3 U TOTAL FIXTURE UNITS @ $10.00 EACH � ---- O l �/S,G(i / Y✓u �z i CITY OF ATLAYJTIC BEACH APPLICATION FOR 14ATER CUT INS WATER i CUT-IN AT APPLICATION IS HEREBY MADE FOR_ � _ THE FOLLOWING ADDRESS FOR_____ v� CUT IN CHARGE OF � STREET NO. G L OT BLOCK SUBDIVISION ACCOUNT NUMBER /BUILDING DEPARTMENT DATE METER NO. DATE INSTALLED