305 4th St (vault) st CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
L 3�F ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025042 Date 10/21/02
Property Address . . . . . . 30S 4TH ST
Tenant nbr, name . . . . . . INSTALL WATER HEATER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . .
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
RAPID DISPATCH SERVICES, INC.
2061L-F EMERSON STREET
JACKSONVILLE FL 32207
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Permit . . . . PLUMBING PERMIT
Additional desc INSTALL WATER HEATER
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 3/21/03
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY: —TEL.
PLUMBING CONTRACTOR: c
CONTRACTOR'S ADDRESS: Xj;q o7
STATE LICENSE NUMBER: Cl-_(' 0 �1067.311 03,-2,1
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 SHOWERPANS
SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
It
TOTAL FIXTURES: $7.00 + $35.00= oo
MINIMUM PERMIT FEE: $35.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
INSTALLATION OF PLUMBrVG 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.