1590 Maritime Oak Dr 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: PLRS1 7-0006
Description:
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Addiresa; 1590 MARITIME OAK DR
RENumber:
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address:
GENERAL CONTRACTOR INFOR14ATION:
Name:
Address:
Phone:
Name: DARLEYS PLUMBING INC.
Address: 4472 PHILLIPS HWY QA CARL LESLIE DARLEY
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMEENTS 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Comunnencernent 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 S
JOB ADDRESS: /5-50 OA� k PERbffr N
NEW OR REPLACEMENT INSTALLATION: Project Values
TYPE oF FDuuRE QTY TYPE oF-FLrmRE QTY
Bathtub 3 Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink ---q—
Fluor Sink Toilet
How Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tridy Water Connected Appliances
Lavatory Water Heater
Other Formosa Water Treating System I
RE-PIPE:
TYPEoFFjxTuRE QTY TYPE oF FLxTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer show"
Dishwasher Shower pan
Drinking Fountaur Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hm Bibs 17 Urinal
Kitchen Sink Vacum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Ei Sewer Replacement 0 Back Flow Preventer 0 GTme Interceptor(Trap)_gallons(Requkw3 setsof plans)
o Lawn Sprinkler System-Number of Heads 0 Well
**SJRWD Well Completion Form.Completed"form to be submitted to the Building Department for final inspection."
11 Other
Permit becomes void if vrork does not commoractwithud ammordth period orwork is suspcnded orabandoded for stimmidds.I hereby certify Owl have read
this Application And]mow the same w be hai,sed conect. AM provisions of law;add ordinance;governing this work vvill be complied with hether specified
or not The pernift does not give authority to violate the provisions of my other some or local law regulation construction or the performence of construction.
Property Owners Name TOL, kts) Phone Number
PlumbingComptany, Office Phone 7Z'?-/Y 11Y Fax 9 r
Co.Address: b&,!�r�f; P,)z, _Z�j City JA*, state F, zip 312.o-)
License Holder(Print): Cdki. (44C,1-�? State Certificadon/Registradon# 4fA*C'97bt
d i ure o HoNer P, L?
J AN MEHL tov, G?
a ME Before me this day o 20
Nowy P.MW-StItO Of FIMda
COMMISIN 0 GG 021781 Signature of Notary Public
7" COMM ExOrn Aug 29.2020
ded th(bugh N404-1 Wly AS,,
Cash Register Receipt Receipt Number
City of Atlantic Beach R1507
DESCRIPTION ACCOUNT CITY PAID
PernnitTRAK $452.18
PLR517-0005 Address: 1632 MARITIME OAK DR APN: $236.90
PLUMBING $230.00
PLUMBING BASE FFF 455-0000-322-1000 0 $5sw
PLUMBING FIXTURES 455 0000-322-1000 25 $175.00
STATE SURCHARGES $6.90
STATE DBPR SURCHARGE 455-0000-208-0600 $3.45
0 $145
STATE DCA SURCHARGE 455-0000T208-0700
PLRS17-0006 Address: 1590 MARITIME OAK DR APN: $215.28
PLUMBING $209.00
PLUMBING BASE FEE 455 0000�322 IOGG 0 $55.DO
PLUMBING FIXTURES 455-0000-322-10DO 22 $15,1.00
STATE SURCHARGES $6.28
STATE DBPR SURCHARGE 455-ODOO-208-06M 0 $3.14
STATE DCA SURCHARGE 455-ODOO-208-
TOTAL FEES PAID BY RECEIPT: R1507 $452.18
Date Paid:Wednesday, May 10, 2017
Paid By: DARLEYS PLUMBING INC.
Cashier: BA
Pay Method: CREDIT CARD I
Printed:Wednesday,May 10,2017 8:19 AM I Of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,fl.32233
0540)2017 08:18:07
CREDIT CARD
ASA SALE
Cad A kOD00=1437
SEQ#: I
W#: 361
IWOlOE I
ApprovO Code: 042BG
Ety Mem: mnol
M& Onlix
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233
I IB'7
437
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361
1
042BG
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In kmut $0.00
Card Cok m
SALE AMOUNT %2.18
CUSTOMER COPY