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465 AQUATIC DR - WATER HEATER r, ' �yLf rJo- CITY OF ATLANTIC BEACH ;2, ' 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: PLRS18-0103 Description: WATER HEATER Estimated Value: 1200 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 465 AQUATIC DR RE Number: 171818 5300 PROPERTY OWNER: Name: FALCON RICHARD Address: 465 AQUATIC DR ATLANTIC BEACH, FL 32233-3835 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ROTO ROOTER SERVICES Address: 2028 W 21ST ST 2028 W 21ST ST JACKSONVILLE, FL 32203 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 2 Ph(904)247-5826 Fax (904)247-5845 =�L R S�8 d ( u3 JOB ADDRESS: 465 Aquatic Drive Atlantic Beach, FL 32233 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value s lam. cd 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 1 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: cl Sewer Replacement ❑ Back Flow Preventer n Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** X Other Water Heater Replacement 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 Ricky Falon Phone Number 904-525-7561 Plumbing Company Roto Rooter Office Phone 904-354-7321 Fax 904-354-9255 Co. Address: 2028 West 21st Street City Jacksonville State FL Zip 32209 License Holder(Print): i € 4 1 ) • ChState Certification/Registration # CFC 1428143 Notarized Signature of License Holder l;)Clitlk "' I - yY ladOGArN Sworn and subscribed before me this aO day of APe-/4--- 20/3- Signature of Notary Public ir�• KAREN S JUN(;KI AUS S • ..= Commission#FF 179297 Expires November 25,2018 •' PF�fte Bonded TMi Troy Fin Insurance 900.3957019 Cash Register Receipt Receipt Number City of Atlantic Beach R4848 DESCRIPTION I ACCOUNT QTY PAID PermitTRAK $66.00 PLRS18-0103 Address: 465 AQUATIC DR APN: 171818 5300 $66.00 PLUMBING $62.00 PLUMBING BASE FEE 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: R4848 $66.00 Date Paid: Friday, April 20, 2018 Paid By: ROTO ROOTER SERVICES Cashier: BA Pay Method: CHECK 4620241 TIll Printed: Friday,April 20,2018 2:32 PM 1 of 1 TRACT