Permit 318 Seminole Road CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000525
Property Address . . . . . . 318 SEMINOLE RD Date 4/29/10
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . .
---------------------------------------------0
Application desc -------------------------------
1 fixture
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Owner
Contractor
HUMPHREY, SCOTT ------------------------
318 SEMINOLE ROAD DAVID GRAY PLUMBING INC.
8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 744-7255
Permit . . . . . . PLUMBING PERMIT ----------------------------------
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . . 00
Expiration Date . . 10/26/10 0
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Fee-Summary------ Charged Paid Credited Due
--- ------- ------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 62 . 00 62 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUAMING PERWT APPLI P-1
CMOFA CATION
TLANnC-BRACH
le Rd Atlantic Bearh,
7 co", FL 32233
JOB ADDRESS: L ror14)247-5S45
q,f&, C ,q,,
PrRwr#
NEW OR RFTLA C-EWWNT INSTALLA71ON:
T1?'—v0,FP,VaVjM Project Value S
Bathtub rypRopP2. ��
Clothe's Washer ---
-DmhWasb'Jr Sh
Tank&Pit
Drinlqng F,,,ti, --- W
Floor Diain -Sbowerpft ----
F100r Sink ---- SIOP Sink
HOSOBibs --- Tlvie Compartment ----
Kitchen Sink Toilet Sink ----
Laundry Tray Tjrbw
�,avato�v Vacuum Brealmrs
n1herv,nalur, Water Connected Appli....
Water I-leate,
RF—PrpE: Water Treafmg syst.
2'YPE O-P PD 7 UPX
Bathtab Q9ZT YYPE0FPL"vP
Clothes washer ---- E
I)isbv?asher SePtic Tank&pit
Drinktn
, Shower
Floor Diain ShowerPan
Floor Sink SLOP Sink -----
Rose Bibs ---- Tbiee Q)mpartment Sink
Kitchen SU_-* Toikt
Laundry UrfiW ----
Lavatmy vacHUMBrqa1=3 ----
Other Fhzft� W Coj�i
Water�M�
t:otad Appliances
MSCELLANlEotTS. Water TreathW SYstan
11 Sewer Replacement
0 Bark Flow Pre-venter 0 Gnmse InterCePtOr(Trap)
er System ber otHeads gallons(Rqk,,3 sets rpi,,,)
Well COMpletion Form. ete�-foxm 7to be 0 Well
ther. . subraitted to
6e 13uilding Dqxrtment f*,fu3al
ftIsPection.**
Mit becojmes void jr work does not
is VPficadon wd know cc within SIX 31mnt 7
n the same to be Uue and COMM AU pwvwons work is suqxnded or SM rc
cl 7hc Pmmift do,.,.Gt give auth W Violaft the (of JZWs and - od for tol hereby
PrOvISIM of any other stue or I DDV=mLing cer*that I have read
-VertY Owners NEtme 117,t- C law ,g,,,,,tbis work will be mq)Ued wkb hetberVmdfied
Caftstucam or the
umbing Company ray P1 P011�0fCoo==1i...
UM ing, nc. Phone Number S"? -7
AAdress:
office Phone --------
2ense Efolder(print City
rint): State zi;�
12*ed S4natwe vfU1,1.eff.W,,,. State Ccr I fificldl,,Registra�on# 4�C,4 6)=jrf e.
Sworn and sub=lbed before me lids -4.0
Signatt�C)fN()tmy public of 20 /6
Notary Public State 'Or"a
.�p Neal R Major
My Commission DD)602560
OF Expires 12/20010