318 Skate Rd (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
Boo Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
-77 LOCATION INFOR-MAT-10N
MIJINFORMATION Address: 31
Permit Number: ��2-834 8 SKATE ROAD
ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL Township: 0 Range: 0 Book:
Class of Work: ALTERATION Lot(s): Block: Section: 0
Proposed Use:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 10/11/2001 Name: MIRIAM BURTON
Total Fees: 25.00 Address: 318 SKATE ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 10/11/2001 (904)641-0600
Work Desc: 1��E—GROUND 200AMPIS-SgRVICE FQP,�,PLUMBI.
gill
D ICATION FEES
CONTRAPCITOR -----------
. 7 25.00
P & L ELECTRIC SERVICE
2-
X
LECTRIC
IOR TO SPECTION
NOTICE - IN§kCTIONS�Ii' BE REQU
I UBLIC SPACE,AND
:ED1
BUILDING MATERIAL R�WBBISH,: IS FROM THIS WORK MUST NOT
BR
RACTOR WNrz.
MUST BE CLEARED UP ay-EITHER�ZONT O _
"FAILURE TO COMPLY WITHrg-- RFAULT IN THE
PROPERTY OWNER PAYIN —
ISSUED ACCORDING TO APPROVED PLA ERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISI s b'F-
15 20
--------7. t Aj San 14
RKeipt: 903778
AT IC BEACH BUI I IN DEPT. Date: 19/15/91 It 1365
10/10/2001 16:30 9043988616 P&L ELECTRIC SERVICE PAGE 01
Oct 02 01 10156A Building Department 904-247-5805 P. 1
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PIRMIT
TO THE CHIEF ELECTRICAL 114111PfCTON; DATII: 19
LVPQATANT NOTICE:
IN CONSIDERATION OF PERMIT Given FOR DOING THE WORK AS DESCRIBED IN THE FOLUMNIL WE
HEREBY AGREE ro PERFORM SAID WORK IN ACODROA14CE WITH THE ATTACHED PLANS AMD 3KCIFICATIONS.
WHICH ARX A PART HEREOF,ARE)Iff'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CM OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL PIA!
W& R.- — ----
NAME ADDRIE11111i kaifg-
OLOG.SIZt Z4&2c) —111f7watm.
RE'S.w Arr.I comm.I I PLMLIC I wous,I IWEIN 4 1 OLD I I A Ew.f I
ADOITION I TRAILII*I SIGNS SO.rr_
SGAVIG2. NEW 11MC116AXE,4 R SPAI R Ff I
00"OUCTOR 31IZA AMft COPPI!R I ALUM-I I
09TO4 OP NUAKIR AN&$ 111 VOLTJ— A IEPWAY
MIWT.SIERV-312;1! AVAN MACIEWAY
FEEDERS 140- SIZE size NO. SIZE
--T
U E I COWCIALffO
4414nING OUTLM OPIEN TOTAL
Rf CEPTACLESS COMCIALID TOTA L
Oe=4W
e=ukww
n1wootleScENT a ft'V.
FOAKD !t"
^rpt-lApecto I HIELL T9AMSF.
AIR M.P.RATING H.P.RATING
EOTN-ornomz�COW.Marron OTHffm wKyrooi
IP:
;7"-)P.ffMA R�G
a OT, a hZroftj
AMPS CEIL HFAT; ION-H!IAT
0*1 ova
MOTORS MA, VOLTAGE Pw '40. 1 PLP. VOLTAGE
MIXELLANICUS
TRANSFORMER& UNDER fioc V.
INO. XVA
'KVA
No.NEON TPAINSP. No. VA. FAA. MOTOR SIZE SMRTCH FLA64111'
LAC"SIGN
FORWARDED
31 Q;Z- T01=1 FEES,
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT 1W - fAATION L�QJY INFORMATION
_Pi_rmk_N umber: 22741 Address: 318 SKATE ROAD
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number.
Improv. Cost: OWNER IN50RMATION
Date Issued: 9/26/2001 Name: MIRIAM BURTON
Total Fees: 50.00 Address: 318 SKATE ROAD
Amount Paid: 50.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/26/2001
Phone: (904)641-0600
Work Desc: REPIPE 10 FIXTURES
CONTRACTOR
�.APPLICATIIOW;EES
b-A—Vib GRAY PLUMBING, INC.
50.00
V
IF
Az . ......
X
v-V
1_4
f .F
FINAL
A
M
g�,
�M=
'Ilk.
'5�
ANOW
"M 1� - V�
v-1
4g
Q
kAJ§T BE RE QgS�j
NOR TO INSPECTION
NOTICE I .6-k-4-0-A �
�107 M.0.5 RIM
IN PUBLIC
BUILDING MATEFRIM,'. �Mls
SPACE, AND MUST BE-,, R OR OWNER
"FAILURE TO COMP ULT IN THE
PROPERTY OWNER
ISSUED ACCORDING TO APPROVED PLXF *4TAR.-.1 TME- ;Wt'PERMIT AND SUBJECT TO REVOCATION
TAZ�r,�
FOR VIOLATION OF APPLICABLE PROVISIONS OF
ATLANTIC BECH BUILDING DEPT. Date: 9/26/01 01 Receipt: U92327
CHECKS 3663
221W- -
CITY OF ATLANTIC =CH
APPLICATION FOR PLU2-MING PI=T
JOB LOCATION:
OWNER OF PROPERTY: -TELEPHONE NOC)Y'F- 7,?4
PLUMBING CONTRACTOR DAVID GR AY PLUMBING, INC.
CONTRACTOR' S ADDRESS: 8850 CORPORATE SQUARE CT. JACKSONVILLE, FL . 32216
STATE LICENSE NUMBER: CFC 022586/436 TELEPHONE: 724-7211
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
I SINKS SHOWERS
2__ LAVATORY WATER HEATERS
7, BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS -WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
OTHER
TOTAL FIXTURES: x $3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER: A
SIGNATURE OF CONTRACTOR: L&"-
David Grak
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR� TO COVERING UP (904) 247-5834
ply)
CITY OF
4&,11 Bwc.4-491ased- 4
Office of BuildingOfficial
REQUEST FOR INSPECTION
V
Date Permit No. 17117
Time A.
Received
Job Address Locality t
Owner's
Name Z-�t� Contractor
BUILDING CONCRETE ELECTRICAL (:P�LIJ�MBING RCCHANICAL
Framing El Footing El Rough Wiring Ej Rough El Air Cond. & El
Re Roofing 11 Slab E Temp Pole 7 Top Out 1-1 Heating
Insulation F-1 Lintel El Final E Sewer 17 Fire Place E
READY FOR INSPECTIONZJJ7� Pre Fab
Mon. (2-is ). Wed. Thurs. Friday
4 ) <— �? F A.M.
Inspection Made PM.
Inspector Final lnspecti,-,�
Certificate of Occupancy [7.
Date
CITY OF ATLANTIC 13EACII
APPLICATION FOR ROOFING PERMIT
BUILDING OWNER
()&7 PHONE
t
JOB ADDRES
S 2? 4 TC- 12d ,
--PLOCK Olt UNIT 0- SUBDIVISION
CONIMAcroR
7 Y
ADDR1,SS
LICENSE- NUtIBL.R XTI RJVf1 ON 'To/��
JOB VALUNHON
MATERIALS: w
SIGNATU11, OWNER AT
D
SIGNATURE CoN-l*RACl,ojt�
DAT.13' IrY
DEPARTMENT OF BUILDING PERMITNO. 9722
CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD so 7*50 1
110 A. 5/1 i/,I,
THIS PERMIT MUST BE POSTED ON JOB 9722 'Onchc
5210 1 A %,;/I
Date_____Aay 19
Valuation$ 1.8-0-0-0-0- Fee$__ 7.�5O
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that— Willis Roofing CO. (Norman) RC004456t—
has permission to IKU re-rnof
Classification Residential Zone
Owned by— Miriam Burton
Lot— Block S/D
House No.— 318 Skate Road
According to approved plans which are part of this permit OT'CE—ALL CONCRETE FORMS
N
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4------* 0 Building material, rubbish anddebris
zi from this workmust not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
ATER
CITY OF
4&4a& Be=4-0;&U*4&
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Recei,ad -I*M. District No.
fiz;
Locality
Job Address
Owne
Ne
�m. _r )nt C�ANICAL
'ELECTRIC PLUMBING ECHANICAL
BUILDING CONCRETE Rough 0 Air.Con
Framing 0 Footing 0 Rough iring 0
Re Roofing 0 Slab 0 Temp Pole 0. Top Out 0 Heating
Fire Place 0
Lintel 0 Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed. Thurs Friday_P.M.
M
Inspection Made
Inspector Final Inspection 0
Certificate of Occupancy
Date
QFTY OF ATLAiNITIC BE",\CH, FLORICIA
-ro,.,.,d by
TO TXE C,-,IEF E'--CCTPICAL INSPECTOF.,l: 1992
IMPC-RTANT NOTI�--E:
IN CON-71DERATION OF PERIMIT GIVEN FOr-Z [;�iNG THE ")PK AS DESCRIBED IN T E FOU-OWING, 'H=
I 'kNS , ID S.
PL-% AN
HE,r-�"EBY AGREE 7- PERFORM SAID ',IVOF;:, IN ACCC-DANCE WI-I.-I T':i-;-- ATT"Cl
I.,. EGULA-IiONS, CODES ANID CITY OF
W.HiCli ARE A Pj,'%RT HSEREOF, .^,ND IN ACCnr�----ANCE ' !�T!rl THE ELECTRICAL Rc-
ATLANTIC BEACH ORD!NANCES.
R& R EL r,T M rv% 01 F N 0 R�H. F LO R 10 A, I N C.
P. 0. BOX 622-38
JACKSONVILLE, FLORIDA 32219
EL' —RICAL FiR;M: MASTLR ELECT7,ICIAN SICMATURE
NAME Miriam Burton A E SS: 318 Skate Rd. RFD—BOX-
-PLDG.SIZE 6ET'NEEN:—.--.-
RES- COMM. ( PUBLIC INDUS. NEW OLD ( REW.
ADDITION ( TRAILER TEMP. ( SIGNS SQ. FT
SERVICE: NEW RE.PAIR FEE
CONDUCTOR S!ZE AMPS COPPER ALUM.
OVOLTI RACEWAY
SWITCH OR BREAKER .2 00 AMPS PH. -.5 W 7A)(
EXIST.SERV.SIZE /0-0 AMPS PH 3 w '70-140VOLT RACEWAY
FEEDERS NO. SIZE LNO. SIZE NO. SIZE---
CO 4
LIGHTING OUTLETS CONCEAqLED OPEN TOTAL
TOTAL
RECEPTACLES CONCEALEDI �DPEN
0-30 AMPS.
SWITCHES 10-�OAP 0
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0-100 AMPS. OVIER
APPLIANCES 0-'00 BELL TR NSF.
AIR H.P. RATING H.P. RATING
I CO P MO�O 0 -HEAT
COND!TIONIN.EIG CO P. MOTOR OiHER MOTOR$ AMPS ICEIL H.EATj KW iE_
0-1 I0YV�E-:R
P S [
MOTORS H.P. I VOLTAGE- H__ NO. I H.P. VOLTAGE PHS
MISCELLANEOUS t)ervice T�crea7,e�, � at
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. �KVA
FLASHER
WI CH
NO. NEON TRANSF. NO. VA. MOTOR SIZE swl
EACH SIGN
FORJARDED
TOTAL FEES
L'.')ATL :
PRE-SERVICE DIVJ !�SIUN
JACKSONVILLE ELECTkI(, AUTliUklTY
2j3 WEST DUVAL STREE"It'
JACKSONVILLE, FLORIDA 32'..20:2
THE FOLLOWING FINAL hAVE lii-.VN MAL)LI AND AkE
SAT1SPACTORY :
5-5y-41 -A�
SINCERELY,
BUILDINO 1NSPECTION DIVISION
cc:FILE
5945
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT 111FORMATION LOCATION INFORMATION
Permit Number: 5945 Address: 318 SKATE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32'.
Class of Work : ALTERATION LEGAL DESCRIPTION
Constr. Type: WOOD FRAME Lot: Block : Section :
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings: I Code: 0 Subdivision:
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees: $47. 00
Amount Paid: $47. 00
f)n t e P41d 10,1 /92
W( TRAL HEAT AAL; Alf,
oWNER INFORMATION ---- APPLICATION FEES
01RJAM BURTON PERMIT $47. 00
Addresat �_08 SKATE ROAD WATER IMPACT FEE $0. 00
ATLANTIC BICACH, FLORIDA SEWER IMPACT FEE $0. 00
Phone: (904)641-0660 WATER METLR $0. 00
RADON GAS-H. R. S. $0, 00
------ -- CONTRACTOR INFORMATION ---- RADON GAS - 5% $0. 00
Name: SN'IDER HEATING & AIR COND. WATER TAP $0. 00
Address: P. O. BOX 16826 SEWER TAP $0. 00
JACV'7.ONVILLE, FLORIDA 3224 HYDRAULIC SHARE $0. 00
Type: 3 RE-INSPECT FEE 4io. 00
SEC. H IMPACT FEE �;0. 00
OTHER
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.95
VALINTIM DATE: 1010219LI
TIME: 01:48 PM
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIf UBJECT Tq4 OCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TADONE? 4K
CHANGE $.00
4LLL1Pr_N9M=- Qbldi�l
ATLANTIC BEACH BUILDING DEPARTMENT
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT —CAI-L-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111. and IV.
Street Address: kcAc KA .
LOCATION
OF Intersecting Streets: Between 644ncl AJ
BUILDING
Sub-division
111. IDENTIFICATION — To be completed by all applicants ,
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attacl�Lecl plans and specifications which are a part hereof and in accordance with fhe City of Jacksonv;lle ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) V\�v (4(2'r Master
Name of
Property Owner
I r I C�I VV U V1,
Signa+ur* of Owner Signature of
or Authorized Agent Architect or Engineer
III. GENERAL INFO"TION
A, B.
Typo IS OTHER CONSTRUCTION BEING DONE ON
�7=c THIS BUILDING OR SITE?
0 Gas—(3 LP [3 Natural [I Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
C3 Other — Specify
IV. MICHAN UIPMENT TO BE INSTALLED NATU * F WORK
P
(Prow* cam 10te,rist of components on i6ack of this 7Re`tideWntCi_ -or 0 Commercial
Plo .0
a. Central D N uildi
t Space 0 Recessed Central 0 Flow
qr�o r i
Co..., ng U,1,
Ing Building
Air�Condifioninq: [3 Room Control
Duct, System: Maftria' Thickn*sL— Replacement of existing system
Maximum capacity c.f.m. 0 New installation(No system previously installed)
1:1 Extension or add-on to existing system
0 Refrigeration El Other — Specify
0 Cooling tower: Capacity 9-p-m-
C] Fins sprinklers: Number of h9ods—_
• Elevator [3 Monlift [3 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
• Gasoline pumps —(number) (Received)
0 Tank- (number) Remarks
0 LPG contain* (number)
Cl Unfired pressure vossei Permit Approved b Date--
13 Boilers
_Q0_W — Specify Permit Fee
WIT ALL EQUIPMENT
Ant CONDITIONING AND REFRIGERATION EQUIPMENT
capacity A T*VtW
Number Units Description 31odel Number Manufacturer (Tons) cy
4 )l
L 0 r�_� 7W
HEATING FURNACES, BOILERS, FIREPLACES Capacity Appravft
Number Units Description No0el Number Manufacturer (UM) ASUWY
__C UL_
_7 �kn . j
_q� 4)
Y6 kj LIM
TANKS
How Many Nomina]. Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manutacturer No. Agency
PSR-3844 17117
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ LOCATION INFORMATION
�rmit Number : 17117 rkidress - 318 SKATE ROAD
Permit Type; PLUMEING, ATLANTIC BEACH , FLORIDA 32233
Lass of WorktALTERATION LEGAL DESCRIPTION ----------
onstr , Type:WOOD FRAME Block: Lot : Twp: 0
--,roposed Use: Section: 0 Subd-. 0 Rng:
Dwellings : 1 Subdivision:
Est . Value : 0 .00
mr-rov . Cost - 0 . 00
Total Fees :,,' 25 .00
Amount P a i 2 5 ,0
D a te Pai 4W -19 9 8
r k U e�,-
OWft*@--'*#0j00�tj N APPLICATION FEES - --------
m e M lxlux -�s -'Atok 7 T 25 .00
-,dr*. 31 ROAD
AT Ct , ':,�?LORIDA 322A`
M
�A
...one:
CON
JUP. R.MATION
_2
lame: DAVI
BOX 1303-
JACKSONV FLORIDA 3-1�
Lic: CFC01-2-2,5e6 Exp,
,,,pe
,4,
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
Date: 9/09/98 01 -k-eceipt, @084482
CHECKS 18681
ATLANTIC BEACH BUILDING DEPARTMENT 00180903221000
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: 3/2 6"- &--/
OWNER OF PROPERTY: a.Z2 p
PLUMBING CONTRACTOR: Da"-)adl,,,a4t
CONTRACTOR'S ADDRESS: 1275-e (,6.e
STATE LICENSE NUMBER: CFC 022586 TELEPHONE:
HOW MAVY OF THE FAMING FIXTURES INSTALLED
—SINKS SHOWERS
—LAVATORIES WATER HEATERS
—BATH TUBS DISHWASHERS
—URINALS DISPOSALS
—CLOSETS WASHING MACHINES
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 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
PSR-3844 7535
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION ---------
Permit Number , 7535 318 SKATE ROAD
Verm.i t Type ' PLUMBING ATLANTIC BEACH , FLORIDA 32233
. lass of Work: REPAIR ---------- LEGAL DESCRIPTION ----------
t- ,-Jns,tr . Type* WOOD FRAME Lot : Block - Section'
Froposed SINGILE FAMILY Townsbip: RNG: 0
lli-ngs - 1 Code " '0 Subdivirion :
-stimated Value , Me
!-, ,p r C,v . '-`ps t So , w,
T o t a 1 75'��4,s
: ,W-NER !NFC-IRMATION ---- APE-Li;,-'ATION FEES
I --,, $25
��Aj,f "'W,
P -�TON PERMIT
5 OAD TMPA( T, FEE
;JR2
�TE;kjtH , FLORIDIX-'-`� � FEF
9111 WATER METER/TAP $0 .00
RADON GAS-H.R. S . 90 .00
CONTRACTOR INFORMATI -", RADON GAS SO .00
0 RO-.e�TERSERVICES CAPITAL IMPROVE . $0 .00
SEWER TAP S0 .00
HYDRAULIC SHARE
Typf�- CROSS CONNECTION so .0(11�
IMPACT FEE� -A- 0 .,Q
'ON . SC OTHER
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.95
yftfqFffjfR+ DRiEs !HlW93
om
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJWTLTO REVYN'TV�4iR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $25.00
Gipm COO
RECEIPT NUMBER- U1363
ATLANTIC BEACH BUILDING DEPARTMENT
By: .�/-1--, - - ,'/
�17 7r?
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-31 P, z 3 5
PLUMBING CONTRACTOR: 7-c-,
LICENSE NUMBER:
OWNER:- <-L-.
BUILDING CONTRACTOR:
TYPE OF BUILDING:--
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: + $15.00
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.