611 Timber Bridge PLRS18-0244 Cash Register Receipt Receipt Number
0 City of Atlantic Beach R7072
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $421.28
1
PLRSIS-0244 Address: 611 TIMBER BRIDGE LN APN: 169505 M2090A$207.05
PLUMBING $202.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55,00
�00
PLUMBING FDCTURES 455-000�322-1000 1 21 $14700
SURCHARGES $5.05
STATE DBPR SURCHARGE -T 455-0000-208-0700 1 0 $303
STATE DCA SURCHARGE 4SS-0000-208 0600 0 $2Z2
PLRS18-0245 Address: 1727 ATLANTIC BEACH DR APN: 169505 1440 $214.23
PLUMBING $209.00
PLUMBING BASE FEE 455-0000-322-1000 1 0 $55.00
PLUMBING FICKTURES 45S-000�322-1000 1 22 1 5154.00
STATE SURCHARGES $5.23
STATE DBPR SURCHARGE 28-0700 1 1 1 $3.14
STATE DCA SURCHARGE 2-.21! o nq
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 I of I
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JoBADDRESS: /oil -T-,n62r RLAV L-OAA- PERMIT
NEW OR REPLACEMENT INSTALLATION: ProjectValues
TYPEoFFWURE 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 Bjbs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixture Water Treating System
RE-PIPE,.
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub — Septic Tank&Pit
Clothes Washer — Shower
Dishwasher — ShowerPan
Drinking Fountain — Slop Sink
Floor Drain Three Compartment Sink
Toilet
Floor Sink — Urinal
Hose Bibs —
Kitchen Sink Vacuum Breakers
— Water Connected Appliances
Laundry Tray — Water Heater
Lavatory —
Other Fixtures Water Treating System
MISCELLANEOUS:
F _gallons(Requires 3 sets of plans)
,i Sewer Replacement �4ack Flow Pmventer Ll Grease Interceptor(Trap)
L� Lawri Sprinkler System-Number of Heads P Well
** &IRWD Well Completion Form. CompletetF—form to be submitted to t5e—Building Department for final inspection."
Lj Met
Peornit beconnes vent if work does.na.,rancre.within a si�_.00thpeHod or--rk is suspwdedr abandoned for six months.I Fa_cbyccmfr that I have read
thia application and know the sure 10 be me and earned. All previsions of laws and ordinances governing this work will be complied with whether specified
ornot. The fernit does,not give authority to violate the Provisions of anY other state or loeal low regulation constraction or the perforentaxe of Construction.
Property Owners Name _Tbl � PhoneNumber
PlumbingCompany QQ_ OfficePhone Qhq-_13.)-50 Fins
Co. Address: �'bs5 City 7' &K. StatcL-�.Zip
License Holder(Print): State Certification/Registration#( V:-C-I Li 21�s
Notarized Signature ofLicense Ide,
20
id subscribed before me this �of 5r_2O-L8
MELWALkRSUEL Sworn au 1-0
.w,'t N11 NW -'xx`x
con��1�111838 Signature of Notary Public
My Co�n&W"J�2 ton
PLUMBING RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH PLRS18-0244
800 SEMINOLE ROAD ISSUED: 10/16/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/14/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
611 TIMBER BRIDGE LN PLUMBING RESIDENTIAL $7000.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169SO52090 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
RINKWELL PLUMBING INC 5105 PHILIPS HWY JACKSONVILLE FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003
PARTNERS U-C
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 OR AN
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBINGV6EFEE 455 0000-322-1000 0 $55.00
PLUMBING FIXTURES 455 000)322-1000 0 $0.00
PLUMBING RXTURFS 455-00DO 322-IM 21 $147,00
STATE DBPR SURCHARGE 455-0001 07M 0 $3,03
STATE DCA SURCHARGE 455-0000 208 06M 0 $202
Issued Date; 10/1612018 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS18-0244
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 10/16/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/14/2019
issued Date: 10116/2018 2 of 2