Permit Plbg 1917 Seminole Rd 2010 J
. .r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�•
ATLANTIC BEACH, FL 32233
�35;> INSPECTION PHONE LINE 247 -5826
Application Number
Property Address . . . • • 10- 0 0001441
Application type 1917 SEMINOLE RD Date 12/08/10
Application yp description PLUMBING ONLY
Property Zoning TO BE
--_ Application valuation . UPDATED
- - - - - suss -- ________' 0
Application desc - s uss --- suss --
1 fixture ---------------- suss --
Owner -------------------------------------
____ Contractor
WHITEHEAD, TERRY - - suss --
1917 SEMINOLE ROAD AFFORDABLE WATER /KINDER INC
ATLANTIC BEACH 3760 KORI ROAD
-_- FL 32233 JACKSONVILLE
---- - - - - -- suss--- _ -____ (904) 262 -0197 FL 32257
Permit PLUMBING PERMIT
Additional desc ------- suss --
Permit Fee _
Issue Date 62.00 Plan Check Fee .
Expiration Date Valuation
.00
- - - -- suss -- - - - - -- suss -- __6/06/11 . • . • 0
Other Fees --- ---------- - - - --- _
• . . . • • • • STATE PLBG DCA SURCHARGE
_________________________________________________Credited STATE PLBG DBPR SURCHARGE 2.00 2.00
Fee summary Charged _
Fee summa- -- Cha g- Paid --------- suss --
Permit Fee Total - -- -- - -____ Due
Plan Check Total 62'00 62.00 - - - .00
.00 .00 .00
Other Fee Total . . 00 .00
4
Grand Total 4.00 4.00
66.00 .00 .00
66.00 .00 .00
IS p� ogS. D
1 I ONLY I
N ACCORDANCE W1TR R ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDIN C ODE S.
*sue
� ° � ►�;. CITY OF ATLANTIC BEACH
. - 4 . - , ado sENINOLE RC1AD, ATLANTIC BEACH. FL 32233 A� t
V OFFICE: MO4)247 5 • FAX NO.:(904)247.5845 VV j -
WYW..COAB,US
1 • JOBADOREgg : . '' PLUMBING PERMIT APPLICATION �9i7 Semi/vole R oad ` DUVAL COUNTY
/ /9/7
ONO 3. DATE :,
ZC 't24h r` ZZ O YES PERMIT ti;
4 . NAME PROPERTY OWNER: /2- 6 - 10
reg./2 �OQ / 5 ADDRESS F DIFFERENT FROM JOB ADDRESS
Q/' r /� 6. PHONE:
7. N i.tEOF goy
M ANY: PLUMBING CONTRA OR: 2-iii- 35 72
I�oKoA61e U1�4r�,� a.A.:.
� �
9. STATE OF FLORIDA IJCEN '3 76,0 AOR/ Road J �T f� �!
�••�� � g ' 10. CELL PHONE: „ c11CY �l fi<C.S L� 11 FAX NO. !L • g.225-1
12. :MAIL ADDRESS c�J rY E . _" �j /',vn "04-262-0/ 11. FAX NO.:
7C �.n +J 1a OFFICE a +o
J I r i r ►0.
0 - 260-62c/2„
97 aIIIIIIIIIIIIIII
f woo i work is noot f
Application in is hereby bY made to obtain a
Appl ani of all Taws regulating de to permit to do the work and installati
B or if construction cons�ction in this jurisdiction. This permit becomes nuts I Certify work be
on or work is suspended or abandoned fora period of six and void if omred he
x (B) months at any time after work is Com rK ed wrthto in meet t S (g)
menced.
1S. MATURE OF WORK: C OfY 1 'RACrCRS SIGNATURE -
C1 NEW ���� " _
O -PIPE t e.cuaaevreof
C '07 FLORIDA BUILDING CODE-
PLUMBING
19. NUMBER OF FDCTURES: C OTHER:
BATH TUB
SEINER CONNECTION
BIDET
. SHOWERS
DISH WASHER
SHOWERS PANS
DISPOSAL
SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY I OTHER (SPECIFY): Leti So F ns
r Roof DRNN
20. PLUMR3NS PERMIT FEES: