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1380 Camelia St plbg permit \j CITY OF ATLANTIC BEACH SO 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: PLRS17-0163 Description: install 11 fixtures Estimated Value: 0 Issue Date: 12/12/2017 Expiration Date: 6/10/2018 PROPERTY ADDRESS: Address: 1380 CAMELIA ST RE Number: 1710500205 PROPERTY OWNER: Name: PRETT DEVELOPERS LLC Address: 888 KINGMAN RD HOMESTEAD, FIL 33035 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. Cash Register Receipt Receipt Number City of Atlantic Beach R3676 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $136.00 PLRS17-0163 Address: 1380 CAMELIA ST APN: 171050 0205 $136.00 PLUMBING $132.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 1 11 $77.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 45 5-0000-2 08-70760707777 0 $2.00 STATE DCA SU RCHARG E 45500002080700 1 0 $2.00 ,TOTAL FEES PAID BY RECEIPT: R3676 $136.00 Date Paid: Tuesday, December 12, 2017 Paid By: CANNON PLUMBING, INC. Cashier: BA Pay Method: CREDIT CARD 7 00, I Printed:Tuesday, December 12, 2017 4:02 PM 1 of 1 0 TRAK�T PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 1380 CAMELIA STREET PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value s TYPE OF FixTURE 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 RE-PIPE: TYPE OF FixTURE 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: I i i Back Flow Preventer , Sewer Replacement r I L Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ._�i Lawn Sprinkler System-Number of Heads L_', Well &JRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." Other Ne,-1 f1-C LW w&44r A4 54wir Permit becomes void if work does not commence within a six month period or work is suspended or abandoned Ilor six inonths. I hereby certify that I have read this application and know the same to be true and correct. Al I provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance ofconstruction. Property Owners Name Fre-A 1-)p_v e,10 LLC Phone Number 05- Plumbing Company Cannon Plumbing Inc Office Phone 904-744-6350 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 __ _ _ _"'o- - - - Sworn and subscribed before me this 11 day of December .20- LESLIE DALE COMMISSIon OFF 144322 Signature of Notary Public &�r� 14� ;q*' ExpimMy23,2018 kNed Thm Troy Un Insumros M385.7019