83 W 4th St plbg permit j CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
�w
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: PLRS18-0105
Description: 83 W 4th LINK TO GEO One of two single family attached homes
Estimated Value: 6000
Issue Date: 4/20/2018
Expiration Date: 10/17/2018
PROPERTY ADDRESS:
Address: 83 W 4th St
RE Number:
PROPERTY OWNER:
Name: PRETT DEVELOPERS LLC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CANNON PLUMBING, INC.
Address: 1794 -1002 ROGERO RD CIA 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 APPLICA'T'ION
CITY OF ATLANTIC BEACH (0
800 Seminole Rd.Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 83 WIEST 4TH STREET PERMIT# 8-0025 -S
PL-4�_Sl $ 61 DJ
NEW OR REPLACEMENT INSTALLATION: Project Value
1WEoFFiXTURE QTY TYPEOFFIXTURE QTY
Bathtub 1 Septic Tank&Pit
Clothes Washer 1 Shower 1
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain , Throe Compartment Sink
Floor Sink Toilet 2
Hose Bibs 1 Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances.
Lavatory 2 Water Heater 1
Other Fixtures Water Treating System
RE-PIPE:
TYPE of FIXTURE QTY TYPE oFFfXTURE 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:
O Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets or plans)
0 Lawn Sprinkler System-Number of Heads 0 Well
"e SJRWD Well Completion Form. Completed�ortn to be submitted to thegta7d ng Department for final inspection."
0 Other water and sewer.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 We and correct. All provisions of laws and ordinances govemiog this work will be complied with whether specified
or not. The permit does not give authority to viiolaree the provisions of my other save or local law regulation construction or the performance ofconstruction.
Property Owners Name r"r vc_! I�r-v-F-�lS Phone Number
Plumbing Company Cannon Plumbing Inc Office Phone 904.744-6350 Fax 904nJJL_Q416
Co. Address: 1718£Cburch Street City Jacksonville State FL Zip 32202
License Holder(Print): Olin Cannon State Cettification/Re ' ion#CPC 1426140
Notarized Signature ojLteense Halder
LESLIE DALE Sworn and subscribed before me 90s J.O dam y of 20jS,
rAmmaelon A FF 144322 _ L �
Expires Jury 23,2013 Signature of Notary Publioa �
eox rsv np rm i.u�.soosaao is
4Cash Register Receipt Receipt Number
City of Atlantic Beach R4851
DESCRIPTION ACCOUNT CITY 1
PermitTRAK $258.00
PLRS18-0104 Address: 79 W 4TH ST APN: 170824 0020 $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)BPR SURCHARGE 455-0000-208-0600 0 $2,DO
STATE DCA SURCHARGE 45500002080700 0 $2.00
PLRS18-0105 Address:83 W 4th St APN: $129.00
PLUMBING $125.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 4550000-322-1000 10 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080]00 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4851 $258.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,R 32233
14.202016 15:42:51
CREDIT CARO
VISA SAIF.
CARD a MMMAXMXMMMMA9260
INVOICE 0005
EQ A: 0005
Balth# 000781
apToval Code: 032965
Snq Medved, Maval
Mode Onh
TaH Annuli: $0,00
Card Code: M
SALEAMOU9 OU
Date Paid:Friday,April 20,2018
Paid By:CANNON PLUMBING, INC. CUSTOMER COW
Cashier: CB
Pay Method: CREDIT CARD 032965
Printed:Friday,April 20,2018 3:44 PM 1 of 1 it
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