344 4th PLRS18-0156 Cash egister
�19
•r Receipt Receipt 1 .Number
City
• • • /
1
PermitTRAK $171.51
PLR518-0156 Address: 3444TH ST APN: 1698190000 $171.51
PLUMBING $167.00
PLUMBING BASE FEE 455-0000.322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 16 $112.00
$TATESURCHARGES $4.51
STATE DBPR SURCHARGE 455-0000.208-0600 0 $2.51
STATE DCA SURCHARGE 45500002080]00 0 $200
TOTAL • 1 .
Date Paid:Thursday,June 28,2018
Paid By:ATLANTIC COAST PLUMBING CORP.
Cashier:CB
Pay Method: CREDIT CARD 05083a
Printed:Thursday,June 28,201810:02 AM 1 of 1
an
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
cl'w"'9' y INSPECTION PHONE LINE 247-5814
11
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0156
Description: Repipe
Estimated value: 15000
Issue Date: 6/28/2018
Expiration Date: 12125/2018
PROPERTY ADDRESS:
Address: 344 4TH ST
RE Number. 169819 0000
PROPERTY OWNER:
Name: TAYLOR RONALD E
Address; 6278 CREEKSTONE PATH
GUMMING, GA 30041-6000
GENERAL CONTRACTOR INFORMATItNI:
Name:
Address:
Phone:
Name: ATLANTIC COAST PLUMBING CORP.
Address: 3653 REGENT BLVD APT 305 CIA NICHOLAS ARLON PARRISH
JACKSONVILLE, FL 32224
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$7,500.
Sun.26.2018 09:09 PM 9046459363 PAGE. 1/ 1
gil00 -if PLUMING
'7 PLIIIY! INGPERMITAPPLICATION
141'3A CITY OF ATLANTIC BEACH
lb
800 Seminole lid Atlantio Beach,FL 32233
II '' Ph(9004)247-5VA Fn (904)247-5845
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Floor Amin Three Compartment sink
Fluor Sink Toilet
11tiBib, Urinal
Rltohaa Salt Vaouum Brsakers
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Kltahen$bik _.-4 Vacuum Breaker, —'—
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pertyOwneraName j— d n /: 0, oa
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ansa Bolder(Print): 9f, Stats CortlficatloNkeglsuat[on# C�G°D.505�
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Sigaatura of Notary Public
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�+� �,{ MY COMMISaIONq CG 117747