87 W 4th St plumbing permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
~U` 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: PLRS17-0040
Description: UNIT A- 12 FIXTURES
Estimated value: 6285
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTYADDRESS:
Address: 87 W 4TH ST A
RE Number: 170824 0030
PROPERTY OW NER:
Name: PRETT DEVELOPERS LLC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ONE STOP PLUMBING SERVICES LLC
Address: 7225 Sandscove Ct Winter PARK SUITE 1
WINTER PARK, FL 32792
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
ph(904)247-5926 Fax(904)247-'5845
70B ADDRESS: 87 WEST 4TH AVE ATLANTIC BEACH FL
PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ 2285
TYPEOFFIXTURE QTY TYPE OF FIXTURE QTY
Bathtub -2- Septic Yank& Pit �-
Clothes Washer Shower
Dishwasher Shower Pan --
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Toilet —2---
Floor Sink
Hose Bibs _2 Urinal
�� Vacuum Breakers
Kitchen Sink
Laundry Tray Water Connected AppliFmczs �—
Lavato �� Water Hueter
Water Treating System
Other R))aures
RE-PTFE: �
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit ,
Clothes Washer Shower ----
DishwasherShower Pan
Drinking Fountain Slop Sink
Throe Compartment Sink
Floor Drain —
Toilet
Floor Sink _—
Hose Bibs vitreal '
Kitchen Sink Vacuum Beakers Kitchen
Laundry Tray Water Connected APP
Water Heater
Lavatory Water Treating System
Other
--
Other Fixtures
MISCELLANEOUS: gallons(Requires 3 sate of plans)
0 Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) 8
O Lawn Sprinkler System-Number of Heads 0 Wel]
"" SJRWD Well Completion Form. Complete orm to be submitted to the u�ldmg Depara»ent for final inspection."*
o Other
Permit bewmea void i work does not wmmenm wlthu a cix rronm period or work{a 6mpanMd or abmdorod r six months.l hereby unifythat I have.94
p"
uit buesien and kww Tk tone 1 eatrue and wntlm. All provision at laws and ordirmnms goveming this wok will be wmpflod with whether specified
or not The permit duos not give st W bey hoe
andVLOeo the pmvislons/+fang other stun ar loml law regulation wasvumioc ar tbo Peerormmm ofwnswctlon.
Property Owners Name Wllli
l,,,, r7r�G-rT `!]E�F-J 0 Pft( .&umber 4Q -075-274.
7 Office Phone Fax
Plumbing Company
r c a f'+ City lAr..fer Park _Stete�ZtP_32.I92-
Co. Address: rrnc]
License Holder(Print): State Certiflcation/Regiatretion#-
Nornrized Signature of License.Halder 20�
Sworn and subscribed before me s By of
Signature of Notary Public KELLY WEBSTER
F aourP Peelle-sum of Fiends
Cnmmlefim a FF 6)6034
My Comm.EMPirss Alt 4,2020
TO 3EVd 911I-1000 d01S 3110 G0Eb6Z9000 00:01 ZTOZ/6Z/90
ro
Cash Register Receipt Receipt Number
City of Atlantic Beach R1914DESCRIPTION ACCOUNT R
PermitTRAK $143.18
PLRS17-0040 Address: 87 W 4TH ST A APN: 170824 0030 $143.18
PLUMBING $139.00
PLUMBING BASE FEE 455-0000322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 12 $84.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 4550000-208-0600 0 $2.09
STATE DCA SURCHARGE 4550000-208-0700
TOTAL FEES PAID BY RECEIPT: R1914 $143.18
Date Paid:Wednesday,July 05, 2017
Paid By: ONE STOP PLUMBING SERVICES LLC
Cashier: BA
Pay Method: CREDIT CARD 13
Printed:Wednesday,July 05,2017 3:33 PM 1 of 1 Ir