890 SEminole Rd (vault) 13092
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
_--_. PERMIT INFORMATION -_
_permit Number : 13092 LOCATION INFORMATION ---
ddress : 890 SEMINOLE ROAD
ATLANTIC BEACH . FLORIDA 32233
Permit Work :REPAIR ING _- _-- LEGAL DESCRIPTION -.
:lass of WorkREFAI . 0
Lot : Twp
Constr . Type :WOOD FRAME Block: 0 Subd:0 Twp :
Proposed Use: Section: 0
Dwellings : 1 Subdivision:ATLANTIC BEACH
Est . Value: 0 . 00
Improv . Cost : 0 .00
Total F--7 ' 25 .00
Amount 25 . 00
„? ' 95
rk 1)eS'c : SEWFR Lit4! c..LPLACEMENT
- - -- OWNER INFORMATION APPLICATION FEES
? 00
Name : DUNSON REALTY PERMIT
Addr : 890 SEMINOLE ROAD
ATLANTIC BEACH . FLORIDA 3223
Phone: (QQ0 )00Q_.n000
CONTRACTOR INFORMATION, -`_
Name: DAVID GRAY PLUMBING . INC.
Addr : P .O . BOX 11303
JACKSONVILLE , FLORIDA 32239
T ; r. ^G'c'•tl' 2cPG Exp: I /
T
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISHDEBRI CONTRACTOR OR MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AW AY BY
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR O 14
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 12 • .. 1„.
CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT
N8108863221000
f. I.
By: it — f