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745 Amberjack Ln plbg permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0099 Description: install 12 fixtures Estimated Value: 5200 Issue Date: 4/19/2018 Expiration Date: 10/16/2018 PROPERTY ADDRESS: Address: 745 AMBERJACK LN RE Number: 1711970000 PROPERTY OWNER: Name: CLAY REALTY INVESTORS INC Address: 745 AMBERJACK LN ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: COMFORT PLUMBING SERVICES Address: 5747 ATLANTIC BLVD QA DICK HARDIN BUCHANAN JACKSONVILLE, FIL 32207 Phone: PERMIT INFORMATION: Please see aftached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 CL y C)n'�5 PERMIT# JOB ADDRESS: �2,3a3fa -------� $ .00 NEW OR REPLACEMENT INSTALLATION: Project Value TYPE OF FIXTURE QTY TYPE OF FixTURE QTY Septic Tank&Pit Bathtub Shower Clothes Washer Shower Pan Dishwasher Stop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink A Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIxTURE QTY Septic Tank& Pit Bathtub Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures MISCELLANEOUS: �11 Sewer Replacement Li Back Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans) 4NJ r�i Well Lawn Sprinkler System-Number of Heads j—form to be submitted to tFe—Building Department for final inspection.** ,VRWD Well Completion Form. Complete Li Other th period or work is suspended or abandoned for six months.I hereby certify that I have read Permit becomes void if work does not commence within a six mon this application and know the same to he true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified th erformance:of construction. or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or erp, Property Owners Name C, Tyx qstbf-�' -r-yq r Phone Num -7 ax -7 25 -C Plumbing Company Office Phone Qbq——125-TqF city -'�6ry)f;2ffiyfl1t State_EL Zip Co. Address: 10 "A"k State Certification/Registration#jzEc, License Holder(Print): nr'ICA Notarized Signature of License Holder Vmj ZiA I r— be 101 me this Qvi I day of 20 t Sworn and subscribed fore DEBORAH FEJZA Cornmission#GG 129407 Expires July 30,2021 Signature of Notary Public goroed Thry Troy Fa Receipt Number Cash Register Receipt City of Atlantic Beach R4824 DESCRIPTION ACCOUNT CITY P AID PermitTRA $143.09 PLRS18-0099 Address: 745 AMBERJACK LN APN: 171197 0000 $143.09 PLUMBING $139.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 12 $84.00 STATE SURCHARGES $4.09 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.09 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL FEES PAID BY RECEIPT: R4824 $143.09 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,Fl.32233 04/19�,2018 08:31:20 CREDIT CARD VISA SALE Card XX=XXXX4618 SEQ#: I Batch;: 588 INVOICE I Approval Code: 091719 Entry Method: Manual Mode: Online Tax Amount: $0.00 Card Code: M SA[E AMOUNT $143-09 CUSTOMER COPY Date Paid:Thursday, April 19, 2018 Paid By: COMFORT PLUMBING SERVICES Cashier: BA Pay Method: CREDIT CARD 1 Printed:Thursday,April 19,2018 8:33 AM 1 of I Cash Register Receipt Receipt Number City of Atlantic Beach R8676 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $55.00 PLRS18-0099 Address: 745 AMBERJACK LN APN: 171197 0000 $55.00 PLUMBING FINAL 04/03/2019 RBE $55.00 PLUMBING FINAL 04/03/2019 RBE 45500003221002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R8676 $55.00 Date Paid: Friday, April 05, 2019 Paid By: COMFORT PLUMBING SERVICES Cashier: CB Pay Method: CREDIT CARD 7 ot I Printed: Friday,April 05, 2019 10:55 AM 1 of I I