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79 W 4th St plbg permit CITY OF ATLANTIC BEACH � . n 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 oa >� INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLR818-0104 Description: install 10 fixtures Estimated Value: 6000 Issue Date: 4/20/2018 Expiration Date: 10/17/2018 PROPERTY ADDRESS: Address: 79 W 4TH ST RE Number. 170824 0020 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 OA 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 (Olty(l CITY OF ATLANTIC BEACH (� 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826* Fax(904)247-5945 JOB ADDRESS: 79 WEST 4T"STREET PERMIT# RES 1"024 NEW OR REPLACEMENT INSTALLATION: Project Valu¢ TYPEOFFIXTURE QTY TYPE oFFlXTURE QTY Bathtub I Septio Tank&Pit Clothes Washer 1 Shower Dishwasher Shower Pan Drinking Fountain Stop Sink Floor Drain Three Compernnent Sink Floor Sink Toilet ;. Hose Bibs 1 Urinal Kitchen Sink I Vacuum Breakers Laundry Tmy, Water Connected Appliances Lavatory 2 Water Heater j Other Fixtures Water Treating System RE-PIPE: TYPEOFF)XTURE QTY TYPEoFF/KTURE - 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 T Lavatory Water Heater Other Fixtures _ Water Treating System MISCELLANEOUS: • Sewer Replacement ❑Back Flow Prevcmer o Grease Interceptor(Trap) gallons(Requires 3 sets of puns) O Lawn Sprinkler System-Number of Heads ❑ Well '+ **SJRWD Well Completion Form. Completed3onmw be submitted to the m mg Department for final 'inspection.** U 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 nsoaths.1 hereby citify the I have read this application end know the we to be We and coned. All provisions of laws and ordinances governing this work will be emptied with whether specified or not. The permh does not sive Wilt ity to vlatet�Rp1e,,pmvisl`�;s�Ma�njer staff or local law regulation construction or the performance of construction. Property Owners Name JJp V tit" J Phone Number Plumbing Company Cannon Plumbing:Inc _Office Phone 904.744-6350 Fait 904-551-0416 Co.Address: 1718 F Church Street City Jacksonville State FL Zip 32202 License holder(Print): Olin Cannon. State Certification/Reglstration#CFC 1426140 Notarized Signature of License Holder GrLA�•^_/� . tec atter t FF t44 Sworn and subscribed bofore methis /��t dray of a1Nr� 20 18 u � ,�' r Signature of Notary Public �//a�r— 19. Cash Register Receipt Receipt Number U'1 9 U DESCRIPTION ACCOUNT 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 DBPR SURCHARGE 455-0000-208-0600 0 $2,00 STATE DCA SURCHARGE 45500002080]00 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 455-0000-322-1000 10 $70.00 STATE SURCHARGES $4A0 STATE DBPR SURCHARGE 4550000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080]00 0 $2.00 TOTAL • : 11 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,R 32233 N.20 2016 1542:51 CREDIT CARD VISA SAIF '0ARD n :IXMMMIWIXRMM9260 INVOICE 0005 3EQ N: 0005 W#. 000781 Fppoval Code: 032965 Sn"Madwd: MEW Mode: OnIm Tar Nmnt $0.00 Cad Cade: M SALEAMOU9 $15&00 Date Paid: Friday,April 20,2018 Paid By: CANNON PLUMBING, INC. CUSTOMER COW Cashier: CB Pay Method: CREDIT CARD 032965 Printed:Friday,April 20,20183:44 PM 1M1 �n