1746 Maritime Oak PLRS18-0255 n
Cash Register Receipt Receipt Number
City of Atlantic Beach R7146
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $614.10
PLRS38-0254 Address: 1709 ATLANTIC BEACH DR APN: 169505 1390 $214.23
PLUMBING $209.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 22 $154.00
$5.23
STATE SURCHARGES
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $3.14
STATE DCA SURCHARGE 455-0000-208-D600 1 0 $2.09
PLRS18-0255 Address: 1746 MARITIME OAK DR APN: 169505 1850 $192.82
PLUMBING $188.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 19 $133.00
STATE SURCHARGES $4.82
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.82
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
PLRS38-0256 Address: 1644 MARITIME OAK DR APN: 1695051935 $207.05
PLUMBING $202.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIMRES 455-0000-322-1000 21 $147.00
STATE SURCHARGES $5.05
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.02
TOTAL
Date Paid:Tuesday, October 23, 2018
Paid By: RINKWELL PLUMBING INC
Cashier:CB
Pay Method: CREDIT CARD 95078
Printed:Tuesday,October 23,2018 11:57 AM 101`1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. Fl. 32233 PLP ��
Ph(904) 2 l.
47-5826 Fax 1904)247-5845 - jf C.
JOB ADDRESS: M ,` fy
U nk
NEW OR REPLACEMENT INSTALLATION: Project Values _leiqu_._
TYPE OFFIXTURE QTY TYPE OF FfXTC RE QTY
Bathtub Septic Tank& Pit
Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain q Three Compartment Sink
Floor Drain ` Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray W ater Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE:
TYPE Of FIXTCRf QTY
TYPE OF F/XTC%RE QTY Septic Tank & Pit --
Bathtub —— Shower —
Clothes Washer Shower Pan —
Dishwasher -- Slop Sink —
Drinking Fountain Three Compartment Sink _—
Floor Drain Toilet —
Floor Sink Urinal —
Hose Bibs Vacuum Breakers —
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater —
Lav aton Nater Treating System __.--
Other Fixtures
MISCELLANEOUS:
Sewer
(Requires 3 sets of Ph Sewer Replacement Aack Flow Preventer Grease Interceptor (Trap) ..._ B
Lawn Sprinkler SystCompletion
Form.
of Heads -
Well "
** SJRWD Wel(C'ompletion Form. Completed form to be submitted to the Building Department for final inspectior
Other -"
re.
this applicai on ooid if no knox[hesame same,M nu Comment,
cothm a six month period or rreci All prov cions of la s end orG span ae a"`e Tendao his" i?mi be o hereto,� h�fI P
this
net. tTe permi,does, t give authority to violate the provisions of an) other state or IOcai la„ regulin o'constmnion or the performance of<nnatr iew
Property Owners Name
rk �\ �a he pro S _ Phone Number
54 Fax 64-132
Plumbing Company Rs ro�C. t�.ac-U,_P tt-VM R I N 6 ,v �1COffice Phone 9o4-13a-56 -
f� City State R Zip a'�
Co. Address: ��_S}� +1`wP
License Holder(Print): — '-"\ Q State Certification/Registration#C — a_ <
Notarized Signature of License Holder 20
,..... ......., u,F„ws.tua0
Suom and subscribed before m his of
r apayrre-9abdFWb
r t,,,e.„mraamu Signature of Notary Public
D
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
PLRS18-0255
ISSUED: 10/23/2018
800 SEMINOLE ROAD EXPIRES:4/21/2019
ATLANTIC BEACH. FL 32233
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.
• • • rt . r • OF • '
1746 MARITIME OAK DR PLUMBING RESIDENTIAL $8000.00
ZONING:TYPE OF REALESTATE
BUILDING SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1850 COUNTRY CLUB UNIT 02
ADDRESS:
RINKWELL PLUMBING INC 5105 PHILIPS HWY JACKSONVILLE FL 32217
OWNER: rr •
ATLANTIC BEACH 414 OLD HARTS RD STE 502 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 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBINGAEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 4550000-322-1000 19 $13300
STATE DBPR SURCHARGE 455-0000-2080700 0 $2.82
STATE DCA SURCHARGE 455-0000-208-0WO 0 $2.00
TOTAL:$192.82
Issued Date:30/23/2018