890 PARADISE LN - PLUMBING �.J CITY OF ATLANTIC BEACH
w_ -) 800 SEMINOLE ROAD
OF 0
ATLANTIC BEACH, FL 32233
---40111:
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0155
Description: New Fixtures
Estimated Value: 6000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 890 PARADISE LN
RE Number: 172376 0120
PROPERTY OWNER:
Name: BOB CHRIS LLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: CANNON PLUMBING, INC.
Address: 1794 -1002 ROGERO RD QA 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$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 890 PARADISE LANE PERMIT# p1JSf8O/S5_e_W_L '
NEW OR REPLACEMENT INSTALLATION: Project Value$ 6000A0
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer 1 Shower 2
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs 1 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 6 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:
E Sewer Replacement O Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of pious)
o Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRW.D Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o 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 certify that 1 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 too�violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ,/ (i\.Vi S Phone Number
Plumbing Company Cannon Plumbing Inc Office Phone 904/744/6350 Fax 904-551-0416
Co. Address: _1718 E Church Street City Jacksonville State FL Zip 32202
License Holder(Print): Olin Cannon State Certiftc ian/Registration#CFC 1426140
Notarized Signature of License Holder •
direik, LESLIE DALE Sworn and subscribed before me this 42.4 day of Li e.t,L 2018_
4 Commission#FE 144322
'" - Expires Jul 23,2018 ~ 0
-+ P Y Signature of Notary Public
-�r,tti• BonoodiMvTroyFintny�bcrl00465-7019
rfr,
Cash Register Receipt Receipt Number
4,11,1
City of Atlantic Beach R5487
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $178.61
PLRS18-0155 Address: 890 PARADISE LN APN: 172376 0120 $178.61
PLUMBING $174.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 17 $119.00
STATE SURCHARGES $4.61
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.61
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5487 $178.61
Date Paid:Tuesday,June 26, 2018
Paid By: CANNON PLUMBING, INC.
Cashier: CB
Pay Method: CREDIT CARD 022308
Printed:Tuesday,June 26,2018 4:15 PM 1 of 1
TMGT