481 MAKO DR - SEWER LINE REPAIR iiit
r3 = CITY OF ATLANTIC BEACH
r
� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"-on � INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0012
Description: sewer line repair
Estimated Value: 0
Issue Date: 5/30/2017
Expiration Date: 11/26/2017
PROPERTY ADDRESS:
Address: 481 MAKO DR
RE Number: 171459 0000
PROPERTY OWNER:
Name: DAVIDSON JOSEPH 0 III
Address: 5750 BETTS RD
CLEWISTON, FL 33440
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROTO ROOTER SERVICES
Address: 2028 W 21ST ST 2028 W 21ST ST
JACKSONVILLE, FL 32203
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
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.
* 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845
t , �C /7 it-- Q-S 1I -00 lc�
JOB ADDRESS: ALP/ F A iso biz /).T,_a�iC /i. leiw, /,_ 8.2a 33 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE Q7'3' 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
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:
Li Sewer Replacement 0 Back Flow Preventer L, Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
rj Lawn Sprinkler System-Number of Heads 0 Well **
** &IRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
PrOther LiJ G i%ey6A/ie _ 0.t- Coy
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name VO55�.bvibSorJ /1/ Phone Number 7'3-9Q3-26,g
Plumbing Company AOrO /L 007-E-4- Office Phone goit (/-73q/ Fax Cfo(4-35q--9.153
Co. Address: "?0d2 cv,E;\S r o)l5rr (17-12-4:—&-T- City LJ4CKeSo ILJ_ State Ei- Zip-moi 09
License Holder (Print): &K l,�i<�-ie.8o4-htl -A41-(. St aFtiLication/Registration #Cr e 0584,29
Notarized Signature of License Holder _
Sworn and subscribed beforf me this /17 day of NI AV 20 /y
,.�;:�.f'r KAREN S.JUNGKLAUS Si nature of Notar Public `—'� 't-
7,j` Commission#FF 179297 g Y `��
Expires November 25;(:0385-7010
2018
��,p„„\ Donis Thu Troy Fan Inuanoo tO 38-1OIO
Payments by Record Number Page 1 of 1
Enter Beginning of 5/30/2017 31 Enter Ending of 5/30/2017 El
Date Range Date Range View Report
Select Module PermitTRAK v
dd ,i 1 of 1 V v 4 100% / Find I Next 4' `moi a
etitAkik 6 Payments by Record Number
City of Atlantic Beach
.0).1. !P Date Range Between 5/30/2017 and 5/30/2017
PermitTRAK
PLRS17-0012 171459 0000 481 MAKO DR
Fee Code Account Pay Method Date Paid Amount Paid
PLBGFIXTURES 455-0000-322-1000 CREDIT CARD 5/30/2017 $7.00
PLUMBBASEFEE 455-0000-322-1000 CREDIT CARD 5/30/2017 $55.00
STDBPRSURCHG 455-0000-208-0600 CREDIT CARD 5/30/2017 $2.00
STDCASURCHG 455-0000-208-0700 CREDIT CARD 5/30/2017 $2.00
Total for Permit Number:PLRS17-0012 $66.00
Total for PermitTRAK: $66.00
Grand Total of Payments: $66.00
Printed:Tuesday,30 May,2017 t
TWIT
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