1475 Main PLPP18-0003 Cash Register Receipt Receipt Number
City of Atlantic Beach R5656
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $55.00
PLPP18-0003 Address: 1475 MAIN ST APN: 171075 0000 $55.00
PLUMBING ROUGH 07/13/2018 DA $55.00
PLUMBING ROUGH 07/13/2018 DA 1 45500003221002 0 $55.00
TOTAL FEES PAID BY RECEIPT: RS656 $SS.00
CRY OF ATJANTIC BEACH
WO 0111OU RD
ATLANTIC BE4C,R.3M3
07/13,12018 CREDIT CARD 16:35:44
WSA SALE
Card# W==8557
SEQ#:
Bam#: 12
UNDICE 647
Approval Code 12
Enlry rI 513153
Mode: mnw
Tax but. OnI
Card Code: $0.00
M
REAMOUNT OR
CUSTOMER Copy
Date Paid: Friday,July 13,2018
Paid By:ADVANTAGE PLUMBING
Cashier: BA
Pay Method: CREDIT CARD 12
Printed:Friday,July 13,2018 4:36 PM I Of 1 It
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING COMMERCIAL OR MULTIFAM11-Y DETAILS PER BUILDING PLAN -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLPP18-0003
Description: New Fixtures
Estimated Value: 35M
Issue Date: 7/12/2018
Expiration Date: 1/8/2019
PROPERTY ADDRESS:
Address: 1475 MAIN ST
RENumber: 1710750000
PROPERTY OWNER:
Name: JACKERALTED
Address: 13707 LITTLE HARBOR CT
JACKSONVILLE, FL 32225
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Nam: ADVANTAGE PLUMBING
Address: 880 MAYPORT RD QA GREG GAUSE
JACKSONVILLE BEACH, FL 32240
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.
N0110E: 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 them may
be additio red from other governmental entities such as water management
districts, 1=9MCDetsau"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 RVAC work
exceeds and estimated value of$7,500.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 rc)M
JOB ADDRESS: 75- zYYA" '5T-- _PERAffr# 00,:�3,
2LPPfj:- 004%
NEW OR REPLACEMENT INSTALLATION: ProjectValue$ 15_P6,rct�
TYPEotrFbavuE QTY TYPEoFFbiTuRE Qry
Bathtub Septic Took&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Fluor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuurn Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heat"
Other Fixtures Water Treating System
RE-PIPE:
TYPEoFFLYTuRE QTY TYPE oF FDrTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Fluor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tiny Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
• Sewer Replacement C1 Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads Li Well
**&IRWD Well Completion Form. Completed—fo—mto be submitted to the Building Department for final inspection."
o Other
Pernaltbecornes void if work does not commence within a six month period or work is susproded or abandoned for six months.I hereby certify that I have read
this application rund know the some to be me and correct, All provisions of laws and ordinances governing this work will be complied with whether specified
or not. T-he permit does not give mahority te violaw the provisions of my other state or local law regulation constnetion or the perfornissuce of construction
Property Owners Name Phone Nuriaber
Plumbing Company office Phonc*A��-*%%'4 Faxt4jL"�- il
Co.Address: Ifto city%&AjM"Vn StateT-L Zip la&b
License Holder(Print): t SWP)tertification/Registration#
oppr'! vs.
% N ��
Notarized Signature of L it eme Holder
20 1
�,7_ J�NIFER JOHNs ON It Before me thi _4_�J�day of
ati.
IM4 4
y MmIss1�4G( ��j
:Ms coxann 2'. Signature of Notary Public