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87 W 4TH ST A B PLBG 2017 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: PLRS17-0040 Description: UNIT A- 12 FIXTURES Estimated Value: 6285 Issue Date: 7/5/2017 Expiration Date: 1/1/2018 PROPERTY ADDRESS: Address: 87 W 4TH STA CANNED 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$7,500. i PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH g00 Seminole ltd Atlantic Beach, FL 32233 Ph(904)247-5926 Fax(904)247-5845 P L R S v 7_ 0C)!4 0 JOB ADDRESS: 87 WEST 4TH AVE ATLANTIC BEACH FL Psnnnr# NEW Oft REPLACEMENT INSTALLATION: Project Value$ 2285 TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Septic Teak& Pit Bathtub Clothes Washer Shower �_ Shower Pan Dishwasher Slop Sink — Drinking Fountain Three Compartment Sink Floor Drain =� Toilet Floor Sink Bibs Urinal Hose Bib Vacuum Breakers Kitchen Sink 1 Water Connected Appliances �— Laundry Tray �` Water Heater —� Lavatory Water Treating System Other Fixtures �— RE-PIPE: TYP80F FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Slop Sink ` Drinking Fountain Floor Drain Three Compartment Sink Toilet ^— Floor Sink Urinal Hose Bibs — Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray -- water Hester --- Lavatory Water Treating System Other Fixtures MISCELLANEOUS: alions(Requires 3 sets of plans) D Sewer Replacement C3Back Flow Preventer ❑ Crease Interceptor(Trap) o� +. € ❑ Lawn Sprinkler System-Number of Heads C Well em for final inspection.*" ak SJRWD Well Complelion Form. Complete3 be submitted to the u I mg Departm ❑Other Permit be0omee void u wank does twt wmmenea within a six momh period m week la saspOnded or mning tsW r six months.t hesehy cert ty thM 1 umpired read a rfmmm�ofconawotion. this apPacinion and krww,Nc enure w he true and correoa. All y+ovt.iona Of laws and ordimooes govemina this work wilt be+wsmPlkd wiM whether epem e or mi. The po nit time not give a rhOrity to violate the provisions of my other Mine or local lawn ulation aOreteumkn um17eC �r�� r�'� .11;_u„ ` u /r r7 ZEI 'EV EC,O{FKnaMe.N —4aL- r6� Property Owners Name^S(S( --rFax Office Phone Plumbing Company 000 StO. State EL_Zip V292 City�(CttEY_p.8C1L— Co. Address: FC057039 State Certification/Registration# s License Holder(Print): rVotra,hed Signature of License Holder Sworn and subscribed before me th s ay of Signature of Notary Public ,� KELLY WHITT aOWy Paella!Sent.of Field. COMM136wn a rp 17603/ My COMA.EKphas Apr 1,2020 TO 39tld ONI-1000 dO1S 3NO L0E66Z9LOb 00 :VT LLOZ/6Z/90 ^1 Y( Ulf •��0Cash Register Receipt Receipt City of Atlantic Beach» • I DESCRIPTION • CITY PAI1 Pern itTRAR $143.18 PLRS17-0040 Address:87 W 4TH ST A APN: 170824 0030 $143.18 PLUMBING $139.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 12 $84.00 STATES $0.18 STATE OBPR SURCHARGE 455-0000-20&0600 0 $2.09 STATE DCA SURCHARGE 455-0000-208-0700 1 0 $2.09 TOTAL FEES 1 I Date Paid:Wednesday,July 05, 2017 Paid By:ONE STOP PLUMBING SERVICES LLC Cashier: BA Pay Method: CREDIT CARD 13 Printed:Wednesday,July 05,20173:33 PM 1OfI vn CITY OF ATLANTIC BEACH Dits). 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: PLRS17-0041 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, SCANNED Address: I Phone: '` - Date: 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$7,500. PLUMBING PEPMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 p Ph(904)247-5826 Fax(904)247-5845 r P L R S(7 — U� JOB ADDRESS: 91 WEST 4TH AVE ATLANTIC BEACH, FL PERMIT 0 NEW OR REPLACEMENT INSTALLATION: Project Valve$ 6,285 TYPEoFFIXTURE QTY TYPE OF FIXTURE QTY Bathtub 2 Septic Tank&Pit —. Clothes Washer Shower Dishwasher Shower Pan .-- Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet —Z-- Hose Bibs _ 2 Urinal Kitchen Sink I Vacuum Breakers Laundry Tray Water Connected Appliances —4_ Lavatory 9 Water Heater Other Fixtures I Water Treating System ..� RE-PIPE: TYPE of FIXTURE QTY TrPE of FIXTUEE QTY Bathtub Septic Tank&Pit Clothes Washer Shower --- Dishwasher Shower Pan Slop Sink Drinking Fountain Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Vacuum --- Kitchen Sink Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixlums Water Treating System MISCELLANEOUS: [] Sewer Replacement CI Back Flow Preventer E) Grease Interceptor(Trap),Gallons(Requires 3 sets Of pians) O Lawn Sprinkler System-Number of Heads L Well row **S/RWD Well Completion Form. Complete orm to be submitted to Ge ut mg Department for final inspection.** n Other Permit hemmer void if mask does ant aammeftm within a six month period or won Is suspended w abandoned far act months.i hereby wrof MR l haw read un appllaatwn and know the mm w Iw m and correct. All pwviyionaof Iowa and ardinanms aavemina this work will be comphad with wheNer apwinetl or not. The permit does not sive authority to violate the provisions of any other state or local law Mediation wnstrlakill or the perfona rica of wnsWctlun. Property Owners Name, Phone Number 407-975-2743 Plumbing Company o S , PI I Secnrir-aaa: Office Phone FYX Pan �n�—tnp—. I' 9 Co.Address;_22_5-S__d___.._ r+} City_VVireLPark-_State Et_Zip49792 License Holder(Print): V011RITISAlf State CurNflcation/Registration 4 ACL Notarized Signature of License Holder - Sworn and subscribed before a day of 20/ pro"v'�' Signature of Notary Public LLV WE68TE8. 9419y rubes•still Of Florna comnnslw Y FF 976031 r My Ctaem.EXPAND Apr/,2020 Z0 39vd 9NI-1000 dDiS 3N0 LOE66Z9L06 OplbT LTOZ/6Z/90 Cash egister •r Receipt ReceiptNumber City DESCRIPTION ACCOUNTCITY PAID PermitTRAK $143.18 PLRS17-0041 Address:87 W 4TH ST B APN: 170824 0030 $143.18 PLUMBING $139.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FI%TURES 455-0000-322-1000 12 $84.00 STATE SURCHARGE5 $4.18 STATE DERR SURCHARGE455-000620&0600 0 $2.09 STATE DCA SURCHARGE 4550006208-0700 0 $2.09 TOTAL • 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,July05,20173:34 PM 2of1 mr � I