569 Timber Bridge PLRS18-0169 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: PLRS18-0169
Description:
Estimated Value: 10000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 569 TIMBER BRIDGE LN
RE Number: 169505 2055
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTIAN BROTHERS PLUMBING
Address: 5587 COMMONWEALTH AVE
JACKSONVILLE, FL 32254
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$7,500.
i
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
��yy -7- Ph(904)2/47-5826 Fax(904) 247-5845
JOB ADDRESS: /00 I lmba 6yj�Q 3 aa33 PERMI'f/�-�l �
Lo- - '44\59 �/
NEW OR REPLACEMENT INSTALLATION: Project Value$ 1aaDoJ .00
TYPE OF FrxTORE QTY TYPE OFF/XTORE QTY
Bathtub Septic Tank&Pit 6
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain -- Slop Sink
Floor Dmin p _ Three Compartment Sink
Floor Sink Toilet
Hose Bibs Q Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances —75
Lavatory Water Heater I
Other Fixtures Water Treating System I,::)
RE-PIPE:
TYPE OF FIXTURE QTY TYPEOFFixruRE 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:
Sewer Replacement 'lack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**S/RWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
yr r u h y'Cripd ar 4r aapcndcd a.ab�uww-w wi'a
ntis application and Imow 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 act give punto/rity to violate the provisions of any WWenters state or local law regulation construction or the performance of construction.
Property Owners Name �1 (C �L _.I I_� T bm*d 1&�hIr Phhoorne Numher ,
Plumbing Companv�V151-1'4N W P�UJ11 p&G ffiy/LWffice Phone lU1.SSl I9IN F�
Co. Address: -# City e)CLX State L Zip 2067
License Holder(Print): 6 Sts Certification/Registration# LL,3G l- 6W
Nrdorked Sienorore of License eider UJ� /
Sworn afid7subscr4d before n is 20l' FD
teal nlgaMPEP,% Signature of No Public 1
MXPIRMI5Oa ar6,Mr1 YPP tom'
XPIHEa:Octobx 6,Mrs
�:aiFntMv/WEkuMem �M1
Cash Register
Receipt
• INumber
DESCRIPTIONCity of Atlantic Beach R581
PermitTRAK $192.82
PLRS18-0169 Address: 569 TIMBER BRIDGE LN APN: 1695052055 $192.82
PLUMBING $188.00
PLUMBING BASE FEE 455-0000.322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 19 $133.00
STATESURCHARGES $4.82
STATE DBPR SURCHARGE 455-0000-208-0200 0 $2.82
STATE DCA SURCHARGE 455-0000308-0600 0 $2.00
TOTAL1 BY RECEIPT: R5814 $192.82
Date Paid:Tuesday,July 24,2018
Paid By:CHRISTIAN BROTHERS PLUMBING
Cashier:JOS
Pay Method:CHECK Paid
Pdnted:Tuesday,July 24,20189:29 AM Soft