91 W 4th St plumbing permit Fr),
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1vINSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0041
Description: UNIT B- 12 FIXTURES
Estimated Value: 6285
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 87 W 4TH ST B
RE Number: 170824 0030
PROPERTY OWNER:
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 p
Ph(904)247-5826 Fax(904)247-5845
r
JOB ADDRESS: 91 WEST ATH AVE ATLANTIC BEACH, FL _PERMrrfti
NEW OR REPLACEMENT INSTALLATION: Project Value 86,285
TrPEofFIXruits QTr TFPEOFFIXTURR Qtr
Bathtub 2 Septic Tank&Pit
Clothes Washer Shower
Dishwasher _ Shower Pan
Drinking Fountain Slop Sink
Floor Drain Throe Compartment Slnk
Floor Sink Toilet .-9
Hose Bibs 2 Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances � 1
Lavatorryy Water Heater —4—
Other Fixtwes Water Treating System
RE-PIPE:
TYPE oFFUTURE QTr TrPEOFFIAMAE QTr
Bathtub Septic Tank&Ph
Clothes Washer Shower
Dishwasher Shower Pen
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:
❑ Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap)_gallons(Rogtdroe 3 seta o(pleas)
n Lawn Sprinkler System-Number of Heads a Well
**SIRWD Well Completion Form. ComplowETorm m be submitted to the uilding Department for final inspection.**
n Other
permit becomes void if work does not commence within a six month period w work Ie sanpended or abandoned Por six months.I hereby certify that 1 have mod
els apFlicutsoa aad kww the same a ho True and mrmot. All provisions of lawn and ordinances govcming this work will w complied with whmther specified
or not. The permit does not sive authority to violate the provisions of any other sure or local law mgulation wratmcnon or the performance of construction.
Property Owners Name William golf. Phone Number 407_275-243
Plumbing Company ()ne Stop PI hing Senlroe Office Phone
Co.Address: 7995 ,qatirigrellie Ct City INjptar F?mrk State El Zip 39797
License Holder(Print): WilliarriS State Certification/Registration # (`FCnsi7n39
Notarized Signature of License Holder
Sworn and subscribed before a is day of & 2
Signature of Notary Public !,00
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asses rusticda
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Cash Register • 11
City of Atlantic Beach R1915
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $143.18
PLR517-0041 Address: 87 W 4TH ST B APN: 1708240030 $143.18
PLUMBING
$139.00
PLUMBING BASE FEE 4550000-322-1000 0 $55.00
PLUMBING FIXTURES 4550000-322-1000 12 $84.00
5TATESURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.09
STATE DCA SURCHARGE 455-0000-20&0]00 0 $2.09
TOTAL1 BY RECEIPT: R1915 $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 05,20173:34 PM 1OfI