1697 Atlantic Beach Dr plbg permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814
JOB INFOR14ATION:
Job ID: 16-PLBG-2684
Job Type: PLUMBING ONLY
Description: PLUMBING - 37 FIXTURES
Estimated Value:
Issue Date: 12/1/2016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 1697 ATLANTIC BEACH DR
RE Number: None
PROPERTY OWNER:
Name: Dream Finders Homes LLC
Address: 360 Corporate Way Suite 100 Orange PARK
GENERAL CONTRACTOR INFORMATION:
Name: SUNSHINE STATE PLUMBING
,CFC1426859
Address: 1340TRAILWOODDR MICHAEL TROY PORTER
Phone:
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $259.00
Trade Permit Base Fee $55.00
Total Payments: $318.00
PER� IS APPROWD ONLY IN ACCO"ANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 G -PLBC-2684-
JOB ADDRESS: 1697 ATLANTIC BEACH DRIVE —PERMIT# 16-SFR-1886
NEW OR REPLACEMENT INSTALLATION: Project Value$_
TYPE OF FixTURE QTY TYPE OF FixTURE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer 2 Shower 3
Dishwasher I Shower Pan I
Drinking Fountain — Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 6
How Bibs 4 Urinal
Kitchen Sink -9 Vacuum Breakers
Laundry Tray ater Connected Appliances
Lavatory 7 W— ater Heater —+—
Other Fixtures ater Treating System
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:
El Sewer Replacement Ll Back Flow Preverder Ll Grease Interceptor(Trap)_gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads El Well_ **
**SJRWD Well Completion Form. Completed-f—orm to be submitted to the Building Department for final inspection."
Ei Other
mmwnm�
Permit becomes void if work�not commence within a sixtrumbipenod or work is suspended or abandoned for six months.I hereby certify that I have mad
this application and know the same to be true and correct. All previsions of laws and ordinances governing this work will be complied with whether specified
or mt. The perrit does not give authority to violate the provisions of my other state or local law,regulation ongraction or the perforriance of construction.
Property Owners Name Find,x Phone Number 904-240-0194
Plumbing Company Sunshine State Plumbing Office Phone —
_904-262-1066 Fax 904-262-0358
Co. Address: 710 Haines Street City Jacksonville State Fl, Zip 32202
License Holder(Print): Michael T. Porter —State Certification/Registration#CFC 1426859
Notarized Signature of LicenNe Holder
DICKERSON Sworn d b 'b d before mp#s 30 day of 201(l
DAVNAFL an sit scn e
-FMMy COMMISSION#FF 06IJ09
UPISES October 22�201Z Signature of Notary Public 9-�
2v L—
1: !Et Cash Register Receipt Receipt Number
N City of Atlantic Beach R3123
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $55.00
16-PLBG-2684-01 Address: 1697 ATLANTIC BEACH DR APN: $55.00
PLUMBING FINAL 10/10/2017 MJ $55.00
PLUMBING FINAL 10/10/2017 MJ 45500003221002 0
'TOTAL FEES PAID BY RECEIPT: R3123 $55.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FIL 32233
10:11�2017 11:16:13
CREDIT CARD
VISA SALE
'ARD 4 XXWXXXXW4379
'.[NVOICE 0001
3EQ 9: 0001
3atch;: 000654
�pproval Code: 08405G
Enty Method� maul
Mode: Online
'fax Amount: $0.00
'ard Code: M
;ALEAMOUNT $55-W
CUSTOMER COPY
Date Paid: Wednesday, October 11, 2017
Paid By: SUNSHINE STATE PLUMBING
Cashier: ME
Pay Method: CREDIT CARD 1
A0
Printed:Wednesday,October 11, 2017 11:19 AM I of 1 14,
T1 KIT