Permit 885 Seminole Road CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000384 Date 4/05/10
Property Address . . . . . . 885 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
5 fixtures only see permit # 10 373
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Owner Contractor
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GEBHARDT, KURT J WATSON PLUMBING
885 SEMINOLE RD 4456-02 SUNBEAM RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 731-2151
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/02/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JDU11J -LLNUrEKN1L1' AXFL1UAA'10-N
CITY OF ATLANTIC BEACH
800-Seminole Road,Atlantic Beach, FL 32233
Office (904),247-5826 Fax(904)247-5845
)Address: �9s -s..imNt<vn�c- Z&, Permit Number:
,al Description Parcel
Valuation of Work
ss of Work(circle one): New 'Addition I Alteration 1�yair olition pool/spa window/door
of eidsting/prg�ed structureQ) circle one)(ZE406immlci Dj&esidenti
es
,n existing struc e,is d fire sprMer sys�tei�a installed? (Circle oni es 0 N/A
dda Product Approval#
multiple products use product approval form
?
,cribe in detail the type of work to be performed:_
perty Owner Information:
le: (2YAVNA-RA-� , k0rt--r Z. Address:
-�s L\( 41 state E-4 zip 303 3 S Phone
fail or Fax# (Optional
itractor Information:
ipany Name: WAASW Y�L>Mbig(. Co. , Qualifyffig Agent: L�C)kj
ress: 44S6-.100 -City SN ck�()V A State P 1 0 -
ce Phone ' Job Site/Contact Ni Zip -?da'.� 7
-Certification/Registration Fax# 821 cl 7
iftect Name&Phone#
ineer's Name&Phone#
Simple Title Holder Name and Address
ding Company Name and Address
tgage Lender Name and Address
�cation is hereby made to obtain apermit to do the work and installations as indicated I certify that no work or installation has commencedprior to the
nce of apermit and that all work will hope?ybrmed to meet the standards ofall laws regulatijig construction in thisjuriscUction. Alspermit becomes null
,qid rfwbrk is not commenced within six(6)months, or zfconstruction or work is suspended or abandonedfor aeerfod ofs�x months at any time after
rk,Rumbing,Sl&s, d1s,Pools'L
zscommenced I understand that separate permits must be securedfor MectricarWo =ces,Boileiff,Heaters,
s andAir Conifitioners,etc-
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
'ONMIENCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR EMYROVEM[ENTS
ro YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUli NOTICE OF
COMAIENCEMIENT.
certr
fy that I have read and examined this l* 'on and know the same to be true and correct Al7provisions oflaws and ordinances governing this
Tecix
work will be co�nplied with whether n e§=in or not. The granting of a permit does not presume to g7ve a to violate or canc . the
dons ofany otherfederal,state, or local aw mgulating construction or the pe�fb�mdnce ofconstruction. Iviolale-or canc,-, t.he..
ature of Owner Signature of Contractor
Name ................................................................................................................................... Print Name
*. 40;111&;�e.,�...... . ...................... .. ........
m to and subscribed before me SworF4o and s sc ' e befor I e
—Day of 20 this V .- Dayo -- JDA 't A . 2010
ry Public Notary V—nbhy MORELAND.--
My COMMISSIONYDO 57%37
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