2025 Seminole Rd unit 102 (vault) CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-_-.10 A3� & //), -z-
OWNER OF PROPERTY: 4d!,-4,e K 44) A-
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
TELEPHONE NUMBER: Z2 2 :2
STATE LICENSE NO:
TYPE OF BUILDING: dL 7L,
TYPE OF WORK: (A I./"ix,4 k-
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS -DISHWASHERS
_�URINALS DISPOSALS
----CLOSETS WASHING 14ACHINE
PL007Z DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3 . 50 + $15.00 $
----------------------------------------------------------------
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 BEFORE COVERING UP - (904) 247-5834
PSR-3844 9, 7 3 1
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ---- -------- LOCATION INFORMATION -------- -
Permit Number : 9731 Address : 2025 SEMINOLE ROAD #102
Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32233
Class of Work: ALTERATION ------- LEGAL DESCRIPTION --------- -
Constr . T6pe: WOOD FRAME Lot : Block : Section:
Proused se: SINGLE FAMILY Township: RNG, ki
Dwel inas * 1 Code: 0 Subdivision:
Estimated Value: $0 .00
Improv . Cost : 80 .00
Total Fees : S25 .00
Amount Paid: $25 . 00
r,ate pa-iii* 2/17/95
'TiWASHER
O-WNER TNFORMATION ---- APPLICATION FEES -----
MZ.RY VANBLARCOM PERMIT S!,25 . 00
1025 SEMINOLE ROAD #10- WATER IMPACT FEE SO .00
2
ATL,A,PTTI,- BEACH , FLORIDA 3 SEWER IMPACT FEE $0 .00
� 904 -130 -3077 WATER METER'/TAP
RADON GAS-H .R. S . SO .00
- ------ CONTRACTOR INFORMATION RADON CAB 5% to .00
1 ame F T FST 'LASS PLUMB I ,-APITAL !MPROVE . SO . 00
A--i cil-e s st �254 POWEFI� AVENUE #84 SEWER TAP S0 . 00
,jA;-"KSONVILLE , FL 32217 CROSS CONNECTION 80 .00
`FC 0 56 6 7 Type , SEC H IMPACT FEE 5 0 . or.)
CONST . SURCHARGE S0 .00
SCHAFGF1/ATL .B(7H . $0.00
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
000000000 000000000 $6.00 14
ATLANTIC BEACH BUILDING DEPARTMENT Date: 2/17/95 00 Rept: 0034157
CHECKS 1329
00100003221000
By: 7-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
RID,*
Application Number . . . . . 05-00030023 Date 4/04/05
Property Address . . . . . . 2025 SEMINOLE RD 102
Tenant nbr, name . . . . . . . 13 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------- ----------------- ------- -----------------
REAL ESTATE SOURCE DAVID GRAY PLUMBING INC.
2025 SEMINOLE #102 8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 744-7255
--------------------------------------------------- ----- --------------- -----
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 126 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 126 . 00 126 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 126 . 00 126 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
%
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'ok
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
BANK :
khf-lb(J-z 2,
Check Number :- Xd�4.. Date: 4 f ic
Property Address: U"' la
Owner: A,041- Telephone #: 2/-n-
Contractor: DAVID GRAY P1 11MRING , INC - Telephone #: 7?4-7211
Contractor Address: 8850 Corporate Square Ct . Fax 9: 723-5668
Jacksonville , El 32216
In consideration of permit given for doing the work as described in the above statement,we hereby agree to pc.-forn-i said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
L3 New list the building permit number:
"01-11 - ipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: S35.00
Total Fixtures: 12-
X $7.00 + $35.00
800 Seminole Road - Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 - Fax: (904) 247-5845 - http://www.ci.atiantic-beach.fl-us
k& 4a;
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
. ..... ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00029872 Date 4/18/05
Property Address . . . . . . 2025 SEMINOLE RD 102
Tenant nbr, name . . . . . . REROOF TAMKO HER 30AR
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5265
Owner Contractor
------------------------
------------------------
VAN BLARCOM, MARY ARLINGTON BEACHES ROOFING
2025 SEMINOLE #102 1441 CESERY TERRACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) (904) 744-8888
------------------ ----------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5265
Fee summary Charged Paid Credited Due
----------------- ---------- ------ ---- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUI i3 OFFICIAL
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date
Address
;2-
Permit fee based on dollar evaluation as indicated on permit application.
.Heated Square Footage @ 5 per sq ft= S
Garaae/ Shed @ S per sq ft= 5
Zn
Carport Porch @ S per sq ft= 5
Deck @ 5 per 5q ft= S
Patio @ 5 per sq ft= S
TOTAL VALUATION: 5
S & 535.00 is, S1000.00 5 535.00
Total Valuation
S
Remaining Value Per thousand or
portion thereof.
CONSTRUCTION TYPE: TOTAL BUILDINGFEE S 0
ZONING: + 1/2 Filing Fee S
FLOOD ZONE: Fireplaces @ S35.00 S
LNIPERVIOUS SURFACE:
BUMI)ING PER.NLUT FEE S qO
WATER RVIPACT FEE S
SEWER VYIPACT FEE S
WATER NIETER/TAP S
CAPITAL a1PROVEMENT S
SEWER TAP S
C ( ) RADON ERS .0050 S
SECTION H PAVING 5
CROSS CONNECTION 5
ST ( ) SURCEARGE S
OTHER —IV—( . S
Cc:
CITY OF ATLANTIC BEACH
ING ZONING DEPARTMENT
BUILD
800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
v,rww.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address:
Applicant:
Project:
This permit application has been:
[Er"�"Approved
Reviewed and the following items need attention:
Please re-submit your application.when these items have been completed.
Reviewed By: LQ�- Date:
Date Contractor Notified:
MAR-11-2005 01:11P FROM: TO:2475845 P:10/11
RECEIVE
CITY OF ATLANTIC BERCH
BUILDING &ZONJN(j
CITY OF ATLANTIC BEACH 2005
ROOFING PERMIT APPLICATIO14
J;7/1
BY
Datill:
10,
Job AddlC$3.
1 A-J/)I IZ-
Owner of Property: MnkU WAA I AZAq��a)T71_
Address: j joa-k Telephone-.
Contf3etor- ARLINGTON BEACHES ROOFING StatcLi"-mcNumb%,r, CCC1325530
Contractor's Addtcss:---1441 r-PSEgy TPRRACE JACKSONVILLE,FL, 32211
Telephone: 744-8888 745-0000
1.3 Scope of Work.
Deck Slupc. Greater than 2:12 Len than 2:12
Valuation of work:
Product Name(Exampic;Timberline): 30 /Q,_,ZJ
Manufacturer(Example- GAF): —7-14M W n
ASTM Diesignation(s):
Required Lrispectiorts. Shtathip9rc Final
Date:
zz
Date: 0
Signature of G9m;;aa'AK.\ \J,
AS TO OWNER.
_�AgAe-
Sworn to aA4 subscribed before me this day of
State of Florida.County of Duval
"'Sky P,,,� Signs
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WBARA 80AWy'3
MYCOMMISSVNIII)03151�
EXPIRES:May 17.2M perstinally kno
114-7114,1117de Bor"Thm k4il Notary Servo Produced identification
Type of i4cmikation produced V-5 1-4-s�6
AS TO CONTRACTOP.
Swom to and subscribed before me this
day of
.204S7
State ct f loridi,County of Duval
Notitry's Sijlftature:,7�, 19
SARBW BOMAN
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EXPIRES:May 17 M 0 eroduced idcntificatiam
Pmonall knourn
Type of i4on6fication prodoced
900 Seminole Road -Atl2ntk 8t2Ch,Fl*rId2 32233-5445
Telephoug: (904)247-5800 -Fax: '(904)247-5843 -http://www.ci.atianik-bt2Cb.fl.n
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