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299 Atlantic Blvd 6 (unit 207) plumb 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 •S� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001647 Date 11/06/12 Property Address . . . . . . 299 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 207 RAGTIME Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture water heater ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SOUTHCOAST CAPITAL PTNRSHP LTD ROTO ROOTER SERVICES 1600 INDEPENDENT SQUARE 2028 W 21ST ST JACKSONVILLE FL 322025018 JACKSONVILLE FL 32203 (904) 354-7321 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/05/13 ---------------------------------------------------------------------------- Special Notes and Comments need noc value 8300 . 00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION C),-,,� 64 6 AO6 5 6 CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 �� 0 s CS�II 1�At•i Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: AM _PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ $-7Q0,0 0 TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Water Heater Lavatory Other Fixtures Water Treating System v,)- RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: gallons(Requires 3 sets of plans) ❑ Sewer Replacement F-1BackFlow Preventer ❑ Grease Interceptor (Trap) g 4 ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other I have or r six s.I hereby certify that Permit becomes void if work doe to be truenot eand correctnce within a sixmonth provisions of laws and ordinances dgoverning this work will be complied with whether specified this application and know the same or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perp ce of construction. V Phone Number 0 Property Owners Name clp�} Plumbing Companyr ��b \'�ac� �� Office Phone zS�"13 ,1 Fax 2��k-QHS r`Z � A\--AS't _ City-�� State Vl Zip Co. Address: -*��+� �1 License Holder (Print): tate Certification/Registration Notarized Signature of License Holder BARBARA A. Sworn and subscribed before me this _day of n\c��c�cn P�` 201 MY CoMmIsSo#EE 179625 1;1'� EXPIRES:Apdi 22,20`16 Signature of Notary Public r o' d�4 Bonded Thtu Notary Pubk Underrtlters NOV-6-2012 15:14 FROM:CLERK OF COURTS 904 270 1512 70:92475845 P: 1,'1 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No- State of_ V%L_4. County of �tiS1)AL To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information Is stated in this NOTICE OF COMMENCEMENT. 11 __ \\ Legal description of property being improved: `C R_e'a1ac P 4~L)c�,� v �� e-s'A `- Address of property being improved; � �, General description of improvements: �� A,fi 1�1 cer �,es efi Owner � ��/�`� r� t Address l7 l :rel�T G, �tf U �cki " 3 �wner's interest in site of the improvement �Pf>� WC,, 0c t'lrpc�_ Fee Simple Titleholder(if other than owner) Name Address Contractor R6_0 Roc7^f° �� ,� h; c ti I; c_e S Address_ orz L'i _2 I s� � kc c_(c-5�nr 1 ) LP 3'Z 7.0? Phone No, S LI 3 1-f - -7 :3 z_ Fax No. _ Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the Construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No, Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. _ Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S t]SE ONLY OWNER Dr;c;7 2012248727,OR BK 16133 Page t 52;x, signed DATE i I /J d t 2— Number"age,. 1 lefore me this day of in the Recorded-1110&2012 at 02:42 PM, )ounty of Duval.State of Florida, has personally appeared JIM FULLER GLFRK.CIRCI}IT COURT DUVAI_ herein by COUNTYimse}ffifie(self dnd affirms that all stateme declarations herein P.ECORDING$10.00 ira a and acsyrate ` MY COMi'�iSSI r �'y' '✓.957780 E;,P;PE,S:Fe4va p lie at Larg State Df County of dr r I R• 80 Md1d Thr r Notary Puy is _tea -' - ; � - sion expire Personally Known O1 Produced Identificati ^ -