358 11th St PLRS21-0165 22 Plumb Fixtures, Private ProviderOWNER:ADDRESS:CITY:STATE:ZIP:
ATLANTIC BEACH BUILDER
LLC 960 PARADISE CIR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
CANNON PLUMBING, INC.1718 EAST CHURCH STREET JACKSONVILLE FL 32202
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170083 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
358 11TH ST PLUMBING RESIDENTIAL
22 Plumb Fixtures: PRIV
PROV INSPECTIONS, SINGLE
FAMILY
$6000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 22 $154.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.14
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR 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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 11/2/2021
PERMIT NUMBER
PLRS21-0165
ISSUED: 11/2/2021
EXPIRES: 5/1/2022
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.09
TOTAL: $214.23
2 of 2Issued Date: 11/2/2021
PERMIT NUMBER
PLRS21-0165
ISSUED: 11/2/2021
EXPIRES: 5/1/2022
PLUMBING RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $214.23
PLRS21-0165 Address: 358 11TH ST APN: 170083 0000 $214.23
PLUMBING $209.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 22 $154.00
STATE SURCHARGES $5.23
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.09
TOTAL FEES PAID BY RECEIPT: R17917 $214.23
Printed: Tuesday, November 2, 2021 3:02 PM
Date Paid: Tuesday, November 02, 2021
Paid By: CANNON PLUMBING, INC.
Pay Method: CREDIT CARD 540241923
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17917
PLRS21-0165