1285 Main St plbg permit rj:-'111Yj
.' CITY OF ATLANTIC BEACH
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: PLRS17-0046
Description: ONE WATER HEATER
Estimated Value: 0
Issue Date: 7/6/2017
Expiration Date: 1/2/2018
PROPERTY ADDRESS:
Address: 1285 MAIN ST
RE Number: 171053 0040
PROPERTY OW NER:
Name: NOTTINGHAM MEGAN
Address: 1285 MAIN ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROTO ROOTER SERVICES
Address: 2028 W 21 ST ST 2028 W 21 ST 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 Fm(904)247-5845 0 04 Ce
JOB ADDRESS: 1285 MAIN STREET ATLANTIC BEACH,FL 32233 PERMIT# —ww
NEW OR REPLACEMENT INSTALLATION: Project Value 8
TYPEOFF/XTURE QTY TYPEOFFIXTURE 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 1
Other Fixtures Water Treating System
RE-PIPE:
TYPEOFFIXTURE 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:
Sewer Replacement ❑ Back Flow Preventer Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Lawn Sprinkler System-Number of Heads L Well
"^ .SIRWD 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 sit month period or work is suspended or abandoned for six months.I herby scruly thin 1 have read
this application and know the same to he true and corset. All provisions of laws and otdinanes govcming this work will he complied oithwhether speciried
or nos The permit dues not give authority to violate the provisions ofany other state or local law regulation consmadion or the performance of ecnsboctimt.
Property Owners Name Kevin Nottingham Phone Number 772-215-9343
Plumbing Company Roto Rooter Office Phone 904-354-7321 Fax 904-354-9255
Co. Address: 2028 West 21" Street City Jacksonville State FL Zip 32209
License Holder(Print): Derek Char onneau State Certification/Registration#CFC#057629
Notarized Signature of License HoldeY J
v+:'i»> gaaen s.dur+cxtAus
Sworn and subscribed beforg me this ay of
t 1 Cammissioonobur 25.20 f
. , i Ess uwen bar2s. wtr Signature of Notary Public l �
YL y1Y��.
ReceiptCash egister ReceiptNumber
City•ff•)y, tl •r
f Atlantic Beach R1925
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $66.00
PLRS17-0046 Address: 1285 MAIN ST APN: 171053 0040 $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 DEER SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 46SOW0.20&W00 0 $2.00
TOTAL • 11
Date Paid:Thursday,July 06,2017
Paid By: ROTO ROOTER SERVICES
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Thursday,July 06,201711:55 AM 1 of 1 It
CIIY OF ATOMIC BEACH
800 SEMINOLE RD
ATOMIC BEAC,FL 32233
O11D5120ll 1C5Ttm
CREDIT CARD
MC SALE
Cad A X%RATIX%=8028
SEQ A: 5
Batrh A; 900
INVOICE 5
Approval Code: 022915
5ihy Metlnd: Maual
Mode: Onlara
In Aimed: $0.00
NR Co&:
Cad Cade: M
SRLE AMOUNT $66,W
CUSTOMER COPY