The URL can be used to link to this page

374 Magnolia PLRS18-0224 plbg permit Ji�lr a CITY OF ATLANTIC BEACH 500 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5514 PLUMBING RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: PLRS18-0224 Description: Estimated value: 1050 Issue Date: 9/21/2018 Expiration Date: 3/20/2019 PROPERTY ADDRESS: Address: 374 MAGNOLIA ST RE Number: 170441 0000 PROPERTY OWNER: Name: PISCITELLI STEPHEN V Address: 374 MAGNOLIA ST ATLANTIC BEACH, FL 322334028 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: DAVID GRAY PLUMBING INC. Address: 6491 POWERS AVENUE OA DAVID FRED GRAY 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$7,500. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 r�' I aPh(904)247-558/26 Fax (904)247-5845 JOB ADDREss: 3 / `i Ma amoLI -'Aruzb PERMIT hP -027_ NEW OR REPLACEMENT INSTALLATION: Project Value$ 105D OD TYPE of FIXTORE 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 RE-PIPE: TYPE oFFixTURE QTY TYPE oFF/XTURE 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 ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **S/RWD Well Completion Form. Completed forth to be submitted to the Building Department for final inspection.** o 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 Ne provisions of any other stale or local law,regulation construction or the per//f��ormanceof�f construction. Property OwnersName�?'gken fi-s 'lf-e-W Phone Number7Pq'`9// )0'W4,,L Plumbing Coal rYf(6 T � Umbin/,r Office PhonegQq-12,q-TZIIFax%q-?2,+5rJ71i Co. Address: City _A G CA4'i)n 0d 4 State�Zip l7 License Holder(Print): +Died State Certification/Registration# Notarized Signature of License Holder "elan were esu a rune. Swom and subscribed before this day bf 24 nrenede alvere W eoasniwan cau m Signature of Notary Public ewa..ornazo:e e Cash Register City of Atlantic Beach 04 DESCRIPTION ACCOUNTCITY PAID PermitTRAK $55.00 PLRS18-0224 Address: 374 MAGNOLIA ST APN: 170441 0000 $55.00 PLUMBING ROUGH 09/25/2018 RBE $55.00 PLUMBING ROUGH 09/25/2018 RBE 45500003221002 0 $55.00 TOTAL1 , 11 CT TY OF ATIANTIC BEACH 800 SENINOLE RD ATLANTIC BEAC,FL 32233 10;15'2018 09:4431 CREDIT CARD VISE,SALE Card XXXXXXXXXXXX0247 SEQ#: I Batch;: 711 INVOICE I Approval Code: 04153G Entry Method: Manual Mode: Online Taw Amount: $0.00 Card Code: M SAIE AMOUNT $552 CUSTOMER COPY Date Paid: Monday, October 15, 2018 Paid By: DAVID GRAY PLUMBING INC. Cashier: BA Pay Method: CREDIT CARD 1 Printed: Monday,October 15,2018 9:45 AM 1 of 1 I� iwucr