59 19th St (Vault) //CITY OF
Office of Building Official
REQUEST FOR INSPECTION9
Date 2 ` 9 Permit No. F 9 v
Time n A.M.
Received U R
Job Addr ss Locality
Owner's V' L
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUM 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 INSPECTIO
P
Mon. Tues. Wed. Friday
r j• A.M.
Inspection Made PM.
Inspector Final Inspectior
Certificate of Occup ncy❑
Date
PSR-3844 e
0 '2 u
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--I -Lit L, 3'1 L I
-?rzilt Number' 8990 e s s 59 NINETEENTH STREET
Permit Type: PLUMEINC, ATLANTIC BEIV27H . FLORTDA 22-2?
oll,f W,-)rk : NEW LEGAL DESCRIPTION
. onstr . Type: WOOD FRAME
i'ro osed Use , UT I I,I TY N
IreWe iTt i code lwi i vi S,i
L. $25
inount
APPLICATION FEES
PERMIT
EENTH STREEP WATER IMPACT FEE
IMPArT FEE" -`
T Af
A509N GAB-H .R. S .
RADON CAB 5% 80 . 0c
-.Ti� &L %t"Alfl-i -'�l E
CAPITAL IMPROVE .
i45t
j
4- 11 F-CTAP, SEWER TAP-
t
ILLE . FL CROSS CONNECTION
SE" Ii IMPACT FEE
CONST. SURCHARGE
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDI G MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEAR D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
66FAILURE 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
VIOLAT ON OF APPLICABLE PROVISIONS OF LAW.
l' jo0o 000000000 $25.00 14
ATLANTI� BEACH BUILDING DEPARTMENT Dat'�e: 8/24/94 01 Rept. 0076856
CHECKS 16449
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY: 4S
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
����� sP,c�;�. f�• ��. fZA 3a�s6
TELEPHONE NUMBER: 1 6
STATE LICENSE NO:
TYPE OF BUILDING: y!" r'L/
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS �pq -c, SHOWER PANS
�
OTHER ` V"ll� St S-�� uY 1
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 - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834