441 MAKO DR - PLUMBING (----
r .
'• `` - CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'"�u? INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0026
Description: SEWER REPLACEMENT
Estimated Value: 0
Issue Date: 6/9/2017
Expiration Date: 12/6/2017
PROPERTY ADDRESS:
Address: 441 MAKO DR
RE Number: 171464 0000
PROPERTY OWNER:
Name: BRYTE CHARLENE A
Address: 441 MAKO DR
ATLANTIC BEACH, FL 32233-3905
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: MR ROOTER PLUMBING
Address: 29 Enterprise DR
BUNNELL, FL 32110
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
I 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.
I * 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$7,500.
0
I
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904)247-5845 P S, - 00 2-c
JOB ADDRESS: /—IN TAC O c' -\-\-�Qr Alk e0r'icB Ft 3 9,33 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ ,v00
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
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:
'94 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads 0 Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
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 9C.,V G c\e,Y\& Phone Number G r�U� O' 4
Plumbing Company �'Q,,. 'QAC Y ' u ^L rteOffice Phone 3){042 3333 Fax 3 2,�f �a� °�
Co.Address: G ,� >; d:r City firne1\ StaterL Zip 3D-110
License Holder(Print): ,340.YineS 1 try . 0:.`C' State Certification/Registration#C FCl 4' 1523
Notarized Signature of License Holder —! 1
CHRISTINA WHITLIN orn and su cribed before me thi 3– day of J . ).Q 20 (7
M'YCOMMISSION# g
FF9859d2 `
Signature of Notary Public
�t;,;�' EXPIRES April 25,2020 "'g
nature
F(WgaNwsrys, vices.
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ft.1,..,v-F
:.' ,'2,, Cash Register Receipt Receipt Number
City of Atlantic Beach R1735
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $66.00
PLRS17-0026 Address:441 MAKO DR APN: 171464 0000 $66.00
PLUMBING $62.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R1735 $66.00
Date Paid: Friday, June 09, 2017
Paid By: MR ROOTER PLUMBING
Cashier: CT
Pay Method: CREDIT CARD 124990
op
Printed: Friday,June 09,2017 9:49 AM 1 of 1 IA
MGT