1727 Atlantic Beach PLRS18-0245 Cash Register Receipt Receipt Number
City of Atlantic Beach R7072
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK 5421 Z8
PLRS18-0244 Address: 611 TIMBER BRIDGE LN APN: 169505 2090 $207�O5
PLUM-ING $202.00
PLUMBING BASE FEE 55-0000 322-1000 1 ]�O $55.00
1
PLUMBING FIXTURES— —J�455-0000-322-1" 1 21 $147.00
STATE SURCHARGES $5.05
STATE DBPR SURCHARGE 455 X0�208_1700 $3.03
$,
STATE DCA SURCHARUL 455-0000,208-0600
12
PLRS18-0245 Address: 1727 ATLANTIC BEACH DR APN: 169505 1440 $214.23
PLUMBING $209.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIWURES 45S-0000,322-1000 22 $154.0
STATESURCHARGES $5.23
STATE DEER SURCHARGE 455-cuou-208-0700 0 $3.14
STATE OCASURCKARGE 4SS-0000-208-06W 0
$209
TOTAL FEES PAID BY RECEIPT: R7072 $421.28
Date Paid:Tuesday, October 16,2018
Paid By: RINKWELL PLUMBING INC
Cashier:CB
Pay Method:CREDIT CARD 2642g
Printed:Tuesday,October 16,2018 3:18 PM 1 Of 1
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0245
ISSUED: 10/16/2018
800 SEMINOLE ROAD EXPIRES:4/14/2019
ATLANTIC BEACH, FIL 32233
EMMM=
ALL WORK IMI
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
rNOTICE: In addition to the�requirements of this permit,there may be additional restrictions applicable to this property
.0 -rem "c'
It.
that may be found in the public records of this county,,and there may be additional permits required from other
, s,.r
governmental entities such as water management districts,state agencies,orfecleral agencies.
--- JOB ADDRESS: PERMIT TYPE: DESCRIPT I ION: VALUE OF WORK:
1727 ATLANTIC BEACH DR PLUMBING RESIDENTIAL $7000.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
ATLANTIC BEACH
1695051440 COUNTRY CLUB UNIT 02
ADDRESS: CITY: STATE: ZIP:
COMPANY:
RINKWELL PLUMBING INC 5105 PHILIPS HWY JAMONVILLE Fl- 32217
E; ZIP:
OWNER: ADDRESS: CITY: STAT
ATLANTIC BEACH 414 OLD HARTS RD STE S02 FLEMING ISLAND FL 32003
PARTNERS LLC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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 ORAN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION
PLUMBING BASE FEE 455 0"322-1000 a $55.00
455-00(o 322 1000 - $1S4,00
PLUMBING FIXTURES - 22 $3.14
STATE D3PR SURCHARGE 455�0000 208-07M 0 9
STATE DCA SURCHARGE 455- 0�209 0600 0 $2.09
F aTOTAL:$2$154.203
issued Date: 10/16/2018 lof 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5945
JOB ADDRESS: 0:�� ct k c, Gp iic L, �h lZ'i �E PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$ -1 b 0
TYPEoFFIxTuRE TYPEoFFixTuRE QTY
Bathtub Septic Tank&Pit
ClothesWasher Shower
Dishwasher Slower Pan
Drinking�ountain 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 OF FixTuRE QTY TYPE OF FwupE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Fluor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs — Urinal
Kitchen Sink — Vacuum Breakers
Laundry Tiny — Water Connected Appiiances
Lavatory — Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
- Sewer Replacement ack Flow Preventer C3 i[lnutse Interceptor(Trap) gallons(Requires 3 sets of plans)
- Lawrn Sprinkler System-Number of Heads El Well
�'* VRWD Well Completion Form. Completed-To—mto be submitted tothe—Building Department for final inspection.**
:D Other
Permit becomes wid if work does nor commerce,within a six month period or work is suspended or abandoned for six months.I hereby carify the I have read
this application and know the same to be me and correct. All provisions of laws and ordimom governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of my other store or local law mitoluirm construction or the performance of wnsmaim.
Property Owners Name *:)� I � a PhoneNumber ;Cl-6119
Plumbing Company-9,,, 314 s i,:%?A� 2LUW\ R�iNC OfficePhone
Co. Address: (nizt,'A City -,I--AX Stine'�J_ZiplZ,�,n
License Holder(Print): i:_ State Certification/Registration e�c 4L4;lLsj
rizedSi nature o Licensse er Lk
MELIW�UEL Sworn and subscri be ore me th* 0 2019
Signature of Notary ublic