1055 STOCKS ST - PLUMBING -j „,
\041,�:1,y�
i' CITY OF ATLANTIC BEACH
or - , 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�' INSPECTION PHONE LINE 247-5814
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PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0153
Description: re-pipe 9 fixtures
Estimated Value: 0
Issue Date: 6/25/2018
Expiration Date: 12/22/2018
PROPERTY ADDRESS:
Address: 1055 STOCKS ST
RE Number: 171001 0030
PROPERTY OWNER:
Name: Will Uvilla
Address: 1107 1 ST ST S
Jacksonville Beach, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL WEATHER CONTRACTORS INC
Address: 7749 Normandy Blvd. #145-347
Jacksonville, FL 32221
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$7,500.
06/22/2018 12:40 9046195011 " ,G I'' ` PM PAGE 02108
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PLUMBING PJRMIT APPLICATION
_7\ 1 , , , CITY OF ATLANTIC BEACH
•V O., 800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS;_1055 STOCKS ST. ATLANTIC BEACH,FL 32233 pC Q - (Si
# f L S C'i
NEW OR REPLACEMENT INSTALLATION: Project Value$ z-OC
TYPE or FIXTURE QTY TYPE OF Farms QTY
BathtibSeptic Tank&Pit
Clothes Washer Shower .
Dishwasher Shower Pan
Drinking FountainSlop Sink
Floor Drain Three Compartment Sink _-.___
Floor Sink _ Toilet .�._—_
1-lose BibsUrinal
Kitchen Sink Vacuum Breakers _
Laundry Tray Water Connected Appliances
LavatoryWater 14eater _,,
Other FixturesWater Treating System
RE-PIPE:
TYPE OP FIXTURE QTY TYPE OF FIXTURE Qry
Bathtub 1. Septic Tank& Pit
Clothes Washer I Shower
Dishwasher I Shower Pau
Drinking Fountain Slop Sink
Floor DrainThree Compartment Sink j
Floor SinkToilet 1
Hose Bibs 2 Urinal
Kitchen Sink J. Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory I Water Heater 1
Other Fixtures Water Treating System
MISCELLANEOUS:
a Sewer Replacement 0 Back Flow Preventer 0 Grease interceptor(Trap) gallons(Requires 3 sets or plans)
a Lawn,Sprinkler System-Number of Heads. 0 Well **
1e* SJR WD Well Completion Form. Completed >to o be submitted to t ne Building Department for final inspection**
a 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 c rt'ify that 1 have read
this application and know the same to be true and correct. All provisions of Iowa and ordinances governing this work will be complied with whether specified
or not. The permit docs not give authority to violate the provisions of any other state or local law regulation construction or the perfonnance of construction.
Property Owners Name Will Orilla ____________ 904-7041.107
Plumbing Company All Weather Contractors Inc 0L ice 904-77060 Fax#, 9.24}t619-50l 1
Co. Address: 7749 Normandy Blvd.# 145-347 Jacksonville FL 32221
State Certification/Re istration# CE C1428601_
License Holder (Print): Robbie Brown &
Notarized Signature of License Holder --
No>a7 POO Stale or Fiends
• r. Vtrglnie J GOMM'
' 119RTZ
. MY Commission
06/22/2018 12: 40 9046195011 PM PAGE 03/08
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
Jou ADDRESS:_1055 STOCKS ST. ATLANTIC BEAcu,FL 32233
PERMIT#
Sworn and subscribed before me 's o2/ day o 20
Signature of Notary Public 0 , .
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Cash Register Receipt Receipt Number
City of Atlantic Beach R5457
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $122.00
PLRS18-0153 Address: 1055 STOCKS ST APN: 171001 0030 $122.00
PLUMBING $118.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 9 $63.00
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: R5457 $122.00
Date Paid: Monday,June 25, 2018
Paid By: ALL WEATHER CONTRACTORS INC
Cashier: LE
Pay Method: CREDIT CARD 1
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Printed: Monday,June 25,2018 9:02 AM 1 of 1
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