51 Donner Rd plbg permit >�S SCITY 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: PLRS17-0157
Description: 12 FIXTURES
Estimated Value: 0
Issue Date: 11/30/2017
Expiration Date: 5/29/2018
PROPERTY ADDRESS:
Address: 51 DONNER RD
RE Number: 172064 0000
PROPERTY OWNER:
Name: 51 DONNERCDL LLC
Address: 355 11 th ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CANNON PLUMBING, INC.
Address: 1794 -1002 ROGERO RD QA OLIN MARSHALL CANNON
JACKSONVILLE, FL 32211
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$7,500.
PLUM13ING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 P l cj
JOB ADDREsS: 51 DONNER ROAD PERMIT# RES 17-0051
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FrxTuizE QTY TYPE oFFLXTURE QTY
Bathtub 1 Septic'Tank&Pit
Clothes Washer 1 Shower 1
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs 1 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 3 Water Heater 1
Other Fixtures Water Treating System
RE-PIPE:
TYPE of FZxruRE QTY TYPE o r F xTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pant
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Dose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water.Neater
Other Fixtures Water Treating System
MISCELLANEOUS:
O Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
** SJ.RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
❑ Other New construction.home
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.]'hereby certify that t have read
this application and know the same to be true and correct. All provisions of.laws and ordinances governing this work will be complied with whether specified
or not. The pennit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name S � L o r\n e Phone Number
Plumbing Company Cannon Plumbing Inc Office Phone 204-744-6350 Fax 904-551-0416
Co. Address: 1718 E Church Street. City Jacksonville State FL Zip 32202
License Holder(Print): Olin Cannon State Certification/Registration#CFC 1426140
Notarized,Signature of License Holder
+i ''w LESLIE BALE worn and subscribed before me this .,�A day of _ovar%bwr 2012
_
��s Commission#FE 144322
Expires July 23,2o18 i nature f Npublic
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Cash
r Register
City of Atlantic Beach • /
DESCRIPTION
PermitTRAK $286.18
PLRS17-0157 Address: 51 DONNER RD APN: 172064 0000 $143.09
PLUMBING $139.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 12 $84.00
STATE SURCHARGES $4.09
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.09
STATE DCA SURCHARGE 45500002080700 0 $2.00
PLRS17-0158 Address: 53 DONNER RD APN: 172064 0000 $143.09
PLUMBING $139.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 12 $84.00
STATE SURCHARGES $4.09
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.09
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3574 $286.18
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
11,30 2017 16:14:16
CREDIT CARD
VISA SALE
Card; XXXXXXXXXXXX9974
SEQ;: 6
Batch;: 493
INVOICE 6
Approval Code: 051447
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $286,18
Date Paid: Thursday, November 30, 2017
Paid By: 51 DONNERCDL LLC
CUSTOMER COPY
Cashier: BA
Pay Method: CREDIT CARD 6
Printed:Thursday,November 30,2017 4:15 PM 1 of 1 Ii
IMi