1644 Maritime Oak PLRS18-0256 Cash Register Receipt Receipt Number
19 City of Atlantic Beach R7146
PermItTRAK DESCRIPTION I ACCOUNT a $614.10
PLRS18-0254 Address: 1709 ATLANTIC BEACH DR APN: 169505 1390
PLUMBING $209.00
PLUMBING BASE FEE ":2LO2-322 1000 1 0 $55.00
PLUMBING FIXTURES :5�_00"-322-1000 1 22 $154.00
STATESURCHARGES $5.23
STATE DBPR SURCHARGE 455-0000-208-0700 2 $3.14
STATE DCA SURCHARGE 455-OOOD-208-0600 0 $2.09—
PLRSI"2SS Address: 1746 MARITIME OAK DR APN: 169505 1850 $192.82
PLUMBING $188.00
ING BASE FEE 455-0000-322-1 $55.DO
PII�U�M21ING FIXTURES 455-00DO-322-10E0010 777�19 $133.00
STATE SURCHARGES $4.82
STATE DBPR SURCHARGE !f22 08, $2.82
'_000
STATE DCA SURCHARGE :�5 0108 $200
PLRSIS-0256 Address: 1644 MARITIME OAK DR APN: 169505 1935 $207.05
PLUMBING $202.00
PLUMBING BASE FEE 55 01013:22-1000 1 0 $55.00
5 "Do
PLUMBING FIXTURES :F�M550000-322-1000 1 21 $147.00
STATE SURCHARGES $5.05
STATE DBPR SURCHARGE 455-0000-208-0 00 0 $3.03
STATE DCA SURCHARGE 455-0000-208.26 $202
TOTAL FEES PAID BY RECEIPT: R7146 $614.10
Date Paid:Tuesday,October 23, 2018
Paid By: RINKWELL PLUMBING INC
Cashier:CB
Pay Method: CREDIT CARD 9507g
Printed:Tuesday,October 23,2018 11:57 AM I Of 1
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0256
800 SEMINOLE ROAD ISSUED: 10/23/2018
ATLANTIC BEACH. FIL 32233 EXPIRES:4/21/2019
mommo� -
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
Its
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.
1644 MARITIME OAK DR
PLUMBING RESIDENTIAL $7000.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
1695051935 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
I
COMPANY: ADDRESS: CITY: STATE: ZIP:
RINKWELL PLUMBING INC 5105 PHILIPS HWY JACKSONVILLE FL 32217
OWNER:
ADDRESS: CITY: STATE: ZIP:
TOLL FL VI LIMITED
PARTNERSHIP 250 GIBRALTAR RD HORSHAM PA 19044
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.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
PLUMBING BASE PEE 455 C(X0o322 1000 S55aC
PLUMBING FIXTURES 455-OM-322 1000 21 $14700
STATE GIBER SURCHARGE 455 CLUB 208-07W 0 3.03
":,�.._Hsor
STATE EGA SURCHARGE 455-0000-208-060D 0 $2,02
TOTAL:$207.05
issued Date: 10/23/2018
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FI. 3223',
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS:- 16 4L`1 ff -f 0-1�, WLI'S PERMIT#UgSit-011
NEW OR REPLACEMENT INSTALLATION: Project Value s - toob-aa-
TYPE OF FixruRE QTY TYPE OFFIXT( RE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain I hrec Compartment Sink
Floor Sink Toilet 75
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry TraN Water Connected Appliances
Lavatory Water Heater
Other Fixtures vA ater Treating System
RE-PIPE:
TyPEOFFlxruRE QTY TYPE OF FixruRE 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
Lavator
Other F), Water Heater
ixtures Nk ater Treating system
MISCELLANEOUS:
'i Sewer Replacement ack Flow Preveriter Grease Interceptor(Trap)
V4 ___ _ gallons(Requires 3 sets of pis
Lawn Sprinkler SNstem-Number of Heads Well
SJRWD Well Complefion Form. Completed—fom to be submitted to the Building Department for final inspectior
Other
Penton becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. [herelaycenify that I have
this application and know the same to be true and correct. All provisions of laws and ordinances g.,mmg this work will be compiled with whether spixi
ornot The permit does not give authorit% to violate the pro�isfiors ofars other state or local la� regulation construction or the performance ofoonstructic
Property Osvner,sName---�-bkk Phone Number :;i` -IR 6�,u
Plumbing Company Rs wVA)yJ�_1P L_k&k,)n,Jil, M G -7-M C- Office Phone qfA--1 1,7`fl�aAA-V-9,
Co. Address: (PbSe, City -JA)l. Stal:P�.-Zip -w-I
License Holder(Print): State Certification/Registration#CK- Ma651
Notarized Signature of License Holder.
--- Swom and subscribed before nt,�;hls of 20
"I EnAS TMR
Signature of Notary Public 4::�UA
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