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920 SAILFISH DR PLBG PERMIT �S r r }J CITY OF ATLANTIC BEACH 1 ' 800 SEMINOLE ROAD �r 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: PLRS18-0073 Description: install 10 fixtures Estimated Value: 0 Issue Date: 3/27/2018 Expiration Date: 9/23/2018 PROPERTY ADDRESS: Address: 920 SAILFISH DR RE Number: 171164 0000 PROPERTY OWNER: Name: JODY LYNN SOMMERS Address: 1648 ATLANTIC BEACH DR ATLANTIC BEACH, FL 32233-4219 GENERAL CONTRACTOR INFORMATION: Name: Address: vV C^ Phone: O�tC,• ^J�' Name: EASTERDAY PLUMBING INC Address: 6653 POWERS AVE APT 24171 JACKSONVILLE, FL 32217 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$7,500. L PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH J c-O r oJG + S:)& 800 Seminole Rd Atlantic Beach,FL 32233 C CO it Ph(904)247-5826 Fax(904)247-5845 n 1� 0O� ( � (� 2j L �1� PERMrr# JOB ADDRESS: r NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes WasherShower 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: 9 gallons(Requires 3 sets of plans) ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **VRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection."* ❑ Other 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 construction./ !�'�s Phone Number ``//�jrr �- Property Owners Name �/ ' Office Phone Q��( j : �a� Plumbing Company �-� Co.Address: T_s�� City State _� Zip V �-, � License Holder(Print)• State Certification/Registration#GFG 14 6 17 older �v C'FY PV94 RIA MIMS 20 1 O =20 ;% Notary Public-State of Florida Sworn and subscribed befor this aCc day ofOrc Commission#FF 966825 i My Comm.Expires Apr 17,2020 Signature of Notary Publi ,t Bondad through National Notary Assn. r1'-LIr l �3 _J Cash Register . • Receipt • • Number y City ofAtlanticBeach R4607 DESCRIPTION ACCOUNTCITY PAID PermitTRAK $129.00 PLRS18-0073 Address: 920 SAILFISH DR APN: 171164 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 1 0 $2.00 TOTAL FEES PAID BY RECEIPT: R4607 $129.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 03/27/201B 10:19:28 CREDIT CARD MC SALE CARD# ;(XXXXXXXXXXX2664 INVOICE 0002 SEQ#: 0002 Batch#: 000164 Approval Code: 006731 :nay Method: Manual Mode: Online Cad Code: M SALE AMOUNT $1291 CUSTOMER(OPY Date Paid:Tuesday, March 27, 2018 Paid By: EASTERDAY PLUMBING INC Cashier: CB Pay Method: CREDIT CARD 006731 Printed:Tuesday, March 27,2018 10:20 AM 1 of 1 61 "Wo