201 1st St 1997 (12978) Plumbing t
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: 2o1 1S s-rCC-,c-r
OWNER OF PROPERTY: w4-rK, �jS
PLUMBING CONTRACTOR 8 ,16 Ku M tj,N 6 c 0
CONTRACTOR' S ADDRESS: 1199 -) AeAci./ (3Lu )
STATE LICENSE NUMBER: c 0)3 TELEPHONE: go',l- 213 -358,5
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS Z SHOWERS
N LAVATORY I WATER HEATERS
Z BATH TUBS 1 DISHWASHERS
URINALS DISPOSALS
-3 CLOSETS 1 WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: 16 x $3 . 50 + $15 .00 71. 00
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
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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
l
CITY OF
Office of Building Official
REQUEST FOR INSPECTION --
Permit No. —
Date— L A.M.
Time _ P.
Receive-
---
__ -- LocaIit
Job A ress
— -----
Owner's Contractor _--
Name PLUM IN r ECHANICAL
CpNCRETE ELECTRICAL qir Cond. &
BUILDING Rough
❑ Rough Wiring Heating
Footing -i To Out
Framing 0 SIA -1 Temp Pole p ❑ Fire Place
Re Roofing ❑ Final ❑ Sewer Pre Fab
Insulation ❑ Lintel
READY INSPECTION A.M
Thurs. Friday
Tues. Wed. ____------
Mon. ` A.M.
/ C-2_ -- --P.M.
Inspection Made Final Inspection ❑
Inspector - ----- Certificate of Occupancy
Date -- -- —
PSR-3844 1 978
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION -----
Permit Number : 12978 Address : 201 FIRST STREET
Permit Type:PLUMBING ATLANTIC BEACH , FLORIDA 3223
-
Class of Work:NEW --------- LEGAL DESCRIPTION ----- - --
Constr . Type:WOOD FRAME Block : 30 Lot : 1 Twp:
Proposed Use: SINGLE FAMILY Section: Subd- Rn,_,
Dwellings : Subdivision :ATLANTIC BEACH
Est . Value: 0 . 00
imrrov . Cost : 0 .00
Total Fees : 71 . 00
lint r-1
TW NPW VQW;
OWNER. INFORMATION APPLICATION FEES
Name:fGARY & CELESTE W-ADKINS PERMIT 71 , 00
lkddr7 -' '1'-,2 BLACYBEARD DRIVE
I JT-.1CKS0N'!1LLE FLORIDA 322-
Phoney, 904 2 � - 1.n21
C,71vTFr'-, _'TOF INFORMATION
Name: B & PLUMBING
Addr -., 13997 BEACH BLVE
JACKSONVILLE . FL 32224
Li-c:, CFQ,022593 Fxp :
Type:
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.99
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
By: