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283 BELVEDERE ST - PLUMBING 1 ` , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 '1'2,053 vP INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0048 Description: PLUMBING - 10 FIXTURES Estimated Value: 0 Issue Date: 2/22/2018 Expiration Date: 8/21/2018 PROPERTY ADDRESS: Address: 283 BELVEDERE ST RE Number: 170502 0000 PROPERTY OWNER: Name: JAX HOME PRO LLC and ELITE PROPERTY of NORTH FLORIDA Address: 11271 KINGSLEY MANOR WAY JACKSONVILLE, FL 32225 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 R 5 ,.� �� Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 283 BELVEDERE ST PERMIT#_ PcRs18 - oo46 NEW OR REPLACEMENT INSTALLATION: Project Value$ 000.roe TYPE OF FIXTURE QTY TYPE OF FIXTURE 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 2 Hose Bibs 1 Urinal Kitchen Sink 1 _ Vacuum Breakers Laundry Tray ,�Water Connected Appliances Lavatory 2 Water Heater 1 Other Fixtures Water Treating System RE-PIPE: \U2 • 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: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinlder System-Nun-iber of Heads D Well * **SJRWD 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. I hereby certify that I 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 permit 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 Hogar Community Reinvestment 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 042, LESLIE DALE Sworn and subscribed before me this 16 day of February 20 18 Commlesion#FF 144322 Expire%mosPir July akk tots Signature of Notary Public ooiMlOTlraTroy fdnlmrena00488rio19 , ---- , t Cash Register Receipt Receipt Number s, ' City of Atlantic Beach R4309 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $129.00 PLRS18-0048 Address: 283 BELVEDERE ST APN: 170502 0000 $129.00 PLUMBING $125.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 10 $70.00 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: R4309 $129.00 Date Paid: Wednesday, February 21, 2018 Paid By: CANNON PLUMBING, INC. Cashier: CB Pay Method: CREDIT CARD 061271 1,.. Printed:Wednesday, February 21,2018 3:27 PM 1 of 1 In TMI(T