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318 SEMINOLE RD - PLUMBING ISte'. ,� ' 5,� CITY OF ATLANTIC BEACH ,::. r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �!J,31 INSPECTION PHONE LINE 247-5814 � PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0178 Description: replace 6 fixtures Estimated Value: 12500 Issue Date: 8/28/2018 Expiration Date: 2/24/2019 PROPERTY ADDRESS: Address: 318 SEMINOLE RD RE Number: 170431 0018 PROPERTY OWNER: Name: Speranzi Craig Address: 318 Seminole Road Atlantic Beach, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN PLUMBING CONTRACTORS Address: 5720 ARLINGTON RD QA RANDOLPH EROL MILLER 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$7,500. 0 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 eL c_s oc _ 0 11 g JOB ADDRESS: 3/f Y7 " LA WiD. PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ it S Lc1D r TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY L Bathtub 1 Septic Tank& Pit Clothes Washer Shower ( (� Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 9- Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory '2- Water Heater 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: Sewer Replacement Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** i Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I 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 to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Nil-,�,C, 5' •'I' *-7.41* A Phone Number 75 4/"1063 Plumbing Company . ' • � Alt � poie .. r "GO it e hone /1P5-10 3 Fax /41-'147133 Co. Address:4Z�0 I 1 •. City State-L Zip 3.24-4i License Holde �y;r_1 t„ .,/I _.4:1State Certification/Registration#C.,.I C`C)64iFy :Notarized Signa r• of Licence: : :/.."- s"T'4"',, to a of •4�.-. 'VT worn and subscribed before me this day of C ` 1,64-- 20!g o State of Florida•Notery Publi ":%,;k3 " Commission#GO 197930 'k3 ii'4= My Commission Ex ir.a ignature of Notary Public d2C1A. t Ao"01,:.," March 19, 2022 w °' Cash Register Receipt Receipt Number , City of Atlantic Beach R6175 A-2.0111,..);, DESCRIPTION 1 ACCOUNT QTY PAID PermitTRAK $101.00 PLRS18-0178 Address: 318 SEMINOLE RD APN: 170431 0018 $101.00 PLUMBING $97.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 6 $42.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R6175 $101.00 Date Paid: Tuesday, August 28, 2018 Paid By: AMERICAN PLUMBING CONTRACTORS Cashier: CB Pay Method: CREDIT CARD 056315 /\ Printed:Tuesday,August 28,2018 3:44 PM 1 of 1 Ili