310 8th St plumbing permit CITY OF ATLANTIC REACH
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: PLRS17-0024
Description: 27 FIXTURES
Estimated Value: 0
Issue Date: 6/9/2017
Expiration Date! 12/612017
PROPERTY ADDRESS:
Address: 310 8TH ST B
RE Number. 1699180100
PROPERTY OWNER:
Name: GROSHELL BENJAMIN S
Addness: 107 S ROSCOE BLVD
JACKSONVILLE, FL 322082
Name:
Address:
Phone:
Name: FLOW SOLUTIONS INC
Address: 4835 S BRIERWOOD RD ZEF GJOKA
JACKSONVILLE, FL 32257
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.
Cash Register Receipt Receipt Number
City of Atlantic Beach R1740
DESCRIPTION PAID
ACCOUNT TY
$251.32
I A
PermitTRAK
PLRS17-0024 Address: 310 8TH ST B APN: 169918 0100 $251.32
$244.00
PLUMBING
PLUMBING BASE FEE 10DO 0 $55.00
PLUMBING FID(TURES 455-0000-32; 27 $189.00
$7.32
TrAn SUROCARGIES
STATE DBPR SURCHARGE 455-ODOO-208-0600 0 $3.66
STATE DCA SURCHARGE 455-0000-208-0700 — $3.66
TOTAL FEES PAID BY RECEIPT: R1740 $251.32
Date Paid: Friday,June 09,2017
Paid By: FLOW SOLUTIONS INC
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Friday,June 09,2017 1:19 PM 1 of 1
PLUM13ING PERNUT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: _, ,kA-PFRflT# I-l-9-"kZiS;LG
NEW OR REPLACEMENT INSTALLATION: Project Value$ 'S-1 S,0"�
TYPEoFFmmRe QTY TYPEoFFmTuPE QYY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fount Sink
Floor Drain Tee Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink vacclumBreakets
Lamadry Tray water connected APPIlarces
Lavatory Water Heater
Other Fixtures water Treating System
R&PIPE: "
V�k � TYPE OF FWVRE QTY
TYPEoFFixTuAg QTY
Bathtub — Septic Tank&Pit
Clothes Washer Shower
— Shower Pan
Dishwasher —
Drinking Fountain — Slop Sink
FloorDrain Three Compartment Sink
— Toilet
Floor Sink — Urinal
Hose Bibs — Vacuum Breakers
Kitchen Sink — Water Comichoted Appliances
Laundry Tray — Water Heater
Lavatory — Water Treating System
Other Fixtures —
MISCELLANEOUS:
o Sewer Replacement El Back Flow Preventer I-] Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
ci Lawn Sprinkler Systent-Number of Heads_ Cl well
*-SJ,RWD Well Completion Form. Completed form to be submitted to thee—Building Department for final inspection."
ii Other
Peorritlechernes�oid awork does not courrencewithi.a six incrothporiet]orworkis suspondedor arandoned fersixtroothis.Thereby certify thalhavc,orad
this appliwen and know the s.to be too hord correct. All pmisions of law and onfirian.governing this work will be complied with whether specified
oroot The phornit does not give authority to violate the provishics,,of cy,on=state or local law regulaticho coushotion orthe Pm1bracence of chistriction,
Property ownersName L�So, Cn kro -phomeNumbor 11ILS -
PlumbmigComparrY Office Phone at� I�6Fax---
Co.Address: Ctf'X-k-(, State�L Zip I
License Holder(Frint): State Certificatiorl/Registration#Cl��\t�'�l6�
Nota d
day 20-L-L—
is 71�
r 0 Ye
M I
--!@ iomorwLESPERG 20
N" My CoMmISSIM 0 FF 904� Before me this day
EXPIRES, ,JobeT 6,2019
0 S mr,of
77 ignature of Notary Public
r 1-JIL — <0
gkc,FL
c?jDjl co
AskskE
# twofi)05616 5
SEq
pwol(E No
ww�C4� ftld
Em vatt Oft
Y4� %0.0
Tat koa
ISK
I
Cad#
SEq 0
#
QJ�E
at
165
NAM
US