546 AQUATIC DR - WATER HEATER r,,,,,L.,...„,,,
,„ CITY OF ATLANTIC BEACHHw' r) 800 SEMINOLE ROAD
~ ATLANTIC BEACH, FL 32233
,:.ait
e;31.)% INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS17-0168
Description: WATER HEATER
Estimated Value: 0
Issue Date: 1/2/2018
Expiration Date: 7/1/2018
PROPERTY ADDRESS:
Address: 546 AQUATIC DR
RE Number: 171818 5182
PROPERTY OWNER:
Name: LES CONSULTANTS PIGE INC
Address: 60 OCEAN BLVD SUITE 15
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ATLANTIC COAST PLUMBING CORP.
Address: 3653 REGENT BLVD APT 305 QA NICHOLAS ARLON PARRISH
JACKSONVILLE, FL 32224
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
tI Ph(904)247-5826 Fax 904)247-5845 P L RS (7 -
JOB ADDRESS: S 114' ,(4C(AVe ,E c Ito Ito
ERM fir#
NEW 4 e_L_1F:_ Iiv A , TIq • project Value$
TYPE OFUME Qrr TYPE OFirtxrcRE
Bathtub'
Clothes Washer Septic Tank&Pit
Dishwasher
- -• Shower �'-
Drinking Fountain �--- Shower Pan ______
Floor Drain -�- Slop Sink
I1por Sink Three Compartment Sink
FHose Bibs
�- Urinal
Toilet """
Kitchen Sink
-�
Tray -�.-_ Vacuum Beers
Lavatory -�---ry
Water Connected Appliances "'
Other Fixtures Water Heater
�� Water Treating System
tE-PIPE: ``
TYPz OF FDawitr QTY TYPE'OF FiTrRE Qty /fc
Bathtub Septic Tank it Pit
Clothes Washer _ Shower
Dishwasher
Drinking Fountain
�--�- Shower Pan
Floor Drain
Slop Sink �..._
Floor Sink -•-_--- Three Compartment Sink ••••1.114
" """—
Hose Bibs
---^— Toilet
kitchen S Urinal
kitchen
`pray --- Vacuum Breakers �"�`""
Lavatory Water connected Appliances -••
Other Fixtures
--- Water Heater
Water treating System �""'"
1XSCELLA,IV:ROUS:
Sewer Replacement q Back Flow Preventer 0 Grease tox(Trap)interceptor
Lawn Sprinkler Systern-Number'of Heads p -gallons(Requires 3 sets of plans)
SJ7 V Well Completion Form. Completed form to be submitted tWo
wilding Department for final inspection."
Dther
rxlt becomes void if work door not 04wmsenoe within a six month porio or work is suspended or abandoned for Six months.
application lard know the Name to bo true and correct Al! X haed with whether
thin I Juin read
nt. Ths permit does not give authon�t+o violate th. provisions of laws and ordinances i{overninp this work will bo complied w>xothar specified
p Woos of nay other stem or local law regulation construction or the performance of co ction,
party Owners Name l eP !OL„
o a S Phone Ntunbex
6' 12 '- Z7.robin Company "G r 7 " ?•tI p
(4 0 Office Phone 9e 1/PfPtt�ac 0 cN J
Address: ,65 '5-,... r--":1 j:, #F-005
�. � t'�. /t7G City �.,�. ` State j••�Zip r0•5'Z-1_,_ease Voider(Print); ( '
-r: • . - ' , .0 i egistration#W
armed Signature of Lkense Holder
LANOBAY BELMONT Before me this '2-2 day of - y �ji7 _20_17_____
MY COWMAN#MFF948802
WIRES:JAN 12,2020 Signature of Notarypublic ' • t
0• `- Bonded through let State Insurance �� 0"1ti7t
T00 �st3oa-oT�ugT�a C9C65t9t06 Did ZZ:60 LTOZ/LZ/ZT
6 rf(...W.1 j/J
Cash Register Receipt Receipt Number
._ City of Atlantic Beach R3805
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $66.00
PLRS17-0168 Address: 546 AQUATIC DR APN: 171818 5182 $66.00
PLUMBING $62.00
PLUMBING BASE FEE I 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3805 $66.00
Date Paid: Tuesday, January 02, 2018
Paid By: ATLANTIC COAST PLUMBING CORP.
Cashier: CB
Pay Method: CREDIT CARD 82712
Fil•
Printed:Tuesday,January 02, 2018 9:28 AM 1 of 1 i
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