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1732 ATLANTIC BEACH DR - PLUMBING ,_ ,..„;\,,,,./---;),;.; (.„- 4ass CITY OF ATLANTIC BEACH � 'a - . ' 800 SEMINOLE ROAD \Jy _9: ATLANTIC BEACH, FL 32233 / \ r _0;3» INSPECTION PHONE LINE 247-5814 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0208 Description: REPLACE PLRS18-0108 (23 FIXTURES) Estimated Value: 0 Issue Date: 8/29/2018 Expiration Date: 2/25/2019 PROPERTY ADDRESS: Address: 1732 ATLANTIC BEACH DR RE Number: 169505 1675 PROPERTY OWNER: Name: TOLL FL VI LIMITED PARTNERSHIP Address: 250 GIBRALTAR RD HORSHAM, PA 19044 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: RINKWELL PLUMBING INC Address: 5105 PHILIPS HWY QA JOHN DAVID TREADWELL JACKSONVILLE, FL 32217 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH p S 8- 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904) 247-5845 PL JOB ADDRESS: L©* `1 l0 1 3 a A-`}-\at_ t c Q ac�, Q16 d E PERMIT# E5 1 1;-OU1 NEW OR REPLACEMENT INSTALLATION: Project Value$ 0 Q - TYPE OF FIXTURE QTY TYPE OF FI URE QTY Bathtub Septic Tank& Pi Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink SinkToilet y Hosese Bibss Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixturesj Water Treating System RE-PIPE: TYPE OF FIXTURETY TYPE OF FIXTURE Q 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 [ia'tiack Flow Preventer D Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads 0 Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I 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 1 b\\ Phone Number Plumbing Company ‘c `, t►vAZ.W Q`\ f LUJnt t ti G t C Office PhoneC104 -i -- 5S5Faxq(l� Co. Address: C A c 11\--v& City MA> State&Zip 3D‘)._ 1_ License Holder(Print): e..c\\ ‘b. State Certification/Registration# C Pc- I ya L5) I Votarized Signature of License Holder 1:)-- 0Iv Sworn and subscribed before me this qday of cf_( -+ 20 154 '• ERIKA SANCHEZ • Notary Public-State of Florida Signature of Notary Public „;` Commission*GG 113815 c `� r re'' My Comm.Expires Jun 11,2021 C— j',,,,.,, ,, 'V l i f►r. '.. Cash Register Receipt Receipt Number City of Atlantic Beach R6189 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $599.94 PLRS18-0208 Address: 1732 ATLANTIC BEACH DR APN: 169505 1675 $221.40 PLUMBING $216.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 23 $161.00 STATE SURCHARGES $5.40 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.24 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.16 PLRS18-0209 Address: 1656 MARITIME OAK DR APN: 169505 1925 $178.61 PLUMBING $174.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 17 $119.00 STATE SURCHARGES $4.61 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.61 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 PLRS18-0210 Address: 1841 ATLANTIC BEACH DR APN: 169505 1535 $199.93 PLUMBING $195.00 PLUMBING BASE FEE 455-0000-322-1000 0 $55.00 PLUMBING FIXTURES 455-0000-322-1000 20 $140.00 STATE SURCHARGES $4.93 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R6189 $599.94 1,1 osm. CD _ xx o rn o _ L-J Raj Er2 al zzQ Qcn o U • M m ▪ IN U Ei [Qif W O c z v S O > n I N Z N U CM -r 7X i C..) rG _ O O Q N v c,7§ O v -& v O V N .Om .. . . --,..g2 71 J 4 � Q Date Paid: Wednesday, August 29, 2018 Paid By: RINKWELL PLUMBING INC Cashier: CB Pay Method: CREDIT CARD 07688g Printed:Wednesday,August 29, 2018 3:40 PM 1 of 1 ir