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1618 Atlantic Beach Dr PLRS18-0161 CITY OF ATLANTIC REACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NE)['r DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-O`16i Description: WATER HEATER Estimated value: 66 Issue Date: 7/5/2018 Expiration Date: 1/j/2019 PROPERTY ADDRESS: Address: 1618 ATLANTIC BEACH DR RE Number: 1695051125 pROpERfiMNER: Name: RIVERSIDE HOMES OF NORTH FLORIDA INC Address: 1227 SAN JOSE BLVD STE 120 JACKSONVILLE, FL 32223 GENERAL CONTRAcTOR INFORMATION: Name: Address: Phone: Name: AFFORDABLE WATER/KINDER INC Address: 3760 KORI RD SPECIALTY WATER(CONS TDS QB) JACKSONVILLE, FL 32257 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 a&cncies. *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 BVAC work exceeds and estimated value of$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,Fl,32233 Ph(904)247-5826 Fax(904)247-5845 PLPS 18 - b R� &6 PERMIT# JOB ADDRESS; I G 18AtLANTIC J3Car-h NiVe I ArLPNnc — -A 27A a NEW OR REPLACEMENT INSTALLATION: Project Value$ Co(o-00 TYPE oF FixTuRE Qry TYPE oF FixTURE QTY Bathtub — Septic Tank&Pit Clothes Washer — Shower Dishwasher — Shower Pan Drinking Fountain — Slop Sink Fluor Drain Three Compartment Sink Fluor Sink Toilet How Bibs — Urinal Breakers Kitchen Sink — Vacuum Laundry Tray — Water Connected Appliances Lavatory — Water Heater Other Fixtures Water Treating System RE­P1PE: TYPE oF FixTuRE QTY TYPEorFjxTvRE QTY Bathtub — Septic Tank St Pit Clothes Washer — Shower Dishwasher — Shower Pan Drinking Fountain — Slop Sink Floor Drain — Three Compartment Sink Fluor Sink — Toilet How Bibs — Urinal Kitchen Sink Vacuum Breakers — Water Connected Appliances Laundry Tray — Water Heater Lavatory — Other Fixtures Water Treating System AUSCELLANEOUS: • Sewer Replacement 0 Back Flow Preventer Ej Grease Interceptor(Trap) gallons(Require;3 sets of plans) • Lawn Sprinkler System-Number of Heads 11 Well **SJRWD Well Completion Fom.Cornpleted-f—ormto be submitted to tfi�_Buildmg Department for fimal inspection." o Other Tejah becomes void if work does nol:wlamsm"within B six month period or work is suspended or abandoned for six months.I hereby oertify that I have read ,iceman and know the same to be eme and comet. An previsions oflaus and ordinances governing this work will be complied with whether specified TZhe permit does not give authority to violate the provisions,of my other state,or local law regulation construction or the performance of constrection. (q 0 4)3 3 q-19 9 S Property owners Name M�Chae-1 LA &) iER Phone Number— 1104- 90 hone 0 Plumbing Company Arrokl>ABLE WATOP, -offi,,P — ax�O - co.Address: Zri(po Kolzi 'ROaJ CityjAck_soi3�,11 stateEL zip 49.2-59 License Holder(Print): MORK A- K)NDEP- Statec fication/Registration# 000618�? Notarized Signature of License Holder Swom and subscribed be me .a dayof Juk�l 2016 Notayposies"d W /')'\ n I-t1f) A Dwaft M.Dswx* Signature of Notary lic Cash Register Receipt Receipt Number 11 City of Atlantic Beach R5576 DESCRIPTION ACCOUNT CITY PAID PermitTRAK $66.00 PLRS18-0161 Address: 1618 ATLANTIC BEACH DR APN: 169505 1125 $66.00 PLUMBING $62GO PLUMBING BASE FLI 455-0000-322-1000 1 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 1 1 $7,00 STATE SURCHARGES $4 00 STATE DBPR SURCHARGE 455-0000-208-0600 52 00 STATE DCA SURCHARGE TOTAL FEES PAID BY RECEIPT: R5576 $66.00 Date Paid:Thursday,July 05,2018 Paid By:AFFORDABLE WATER/KINDER INC Cashier:CB Pay Method: CHECK 55964 Printed:Thursday,July 05,2018 3:12 PM 1 Of 1 It