1781 SEA OATS DR - PLRS18-0148 Cash Register.NI r ReceiptReceipt1
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V City
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Atlantic Beach R5597
DESCRIPTION ACCOUNTCITY
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PermitTRAK
$55.00
PLRS18-0148 Address: 1781 SEA OATS DR APN: 172020 0450 $55.00
PLUMBING ROUGN07/09/2018 RBE $55.00
PLUMBING ROUGH 07/09/2018 RBE I 45500003221002 0 $55.00
TOTAL
11
CITY OF ATIANTIC BEACH
800 S&INOLE RD
ATLANTIC BEAC,R 32233
07/09/2018 14:42:28
CREDIT CARD
VISA SALE
Cada XWXMKK0281
SEQ p: S
WO: 643
INVOICE S
Approval Code, 0243K
E*y M4dlod: Manual
Mode: Onim
Card Cods: M
SAI AMOUNT ;SS,pp
CUSTOMER copy
Date Paid: Monday,July 09, 2018
Paid By: COUF PLUMBING LARRY COUF
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Monday,July 09,2018 2:45 PM 1 of 1 It
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CITY OF ATLANTIC BEACH
N Ifi �
800 SEMINOLE ROAD
_ A_TLA_NTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0148
Description: 12 FIXTURES
Estimated Value: 900
Issue Date: 6/12/2018
Expiration Date: 12/9/2018
PROPERTY ADDRESS:
Address: 1781 SEA OATS DR
RE Number: 172020 0450
PROPERTY OWNER:
Name: ANDREWS SARAH B
Address: 1781 SEA OATS DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COUF PLUMBING LARRY COUF
Address: 1104 Wood Hill PL
JACKSONVILLE, FL 32256
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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 17 91 lj,-4 Qo,+.g PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ qi"
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
RE-PIPE: 1�
TYPE oFFIXTURE QTY ! TYPE oFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer I . Shower
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink I Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory d Water Heater 1
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
xx SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
❑ Other. NI"n i n 5 Y1y C'/ t,,,a S he v- Drw r,n owd 10-44 e Y1
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 au�!Za
y to violate the pr visionsofany other state or local law regulation construction or the performance of construction.
Property Owners Name (Zd j_e_c c3_S- Phone Number
Plumbing Company Cove i��v.,��jJgti Office Phone gq01'33 M Fax
Co. Address: (1116 Powers sive,
City cJ" State Fc- Zip 3.%Z1 7
License Holder(Print): L�,•-- Gd. State Certification/Registration# Cfe,f L(21 I k 7
Notarized Signature of License Folder.
TONIGINDLESPERGER Sworn and subscribed before this of U 200
MY COMMISSION#FF 924951
EXPIRES:October 6,2019 Signature of Notary Public
'':k p:t°".•' Bonded Thru Notary Public Underviehs