791 Paradise Lane PLRS18-0274 "ALL INFORMATION
Plumbing Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build ing-Ceptiopcogib.us PERMrrt.
JOB ADDRESS; 791 Paradise Lane PROJECT VALUE
PUR
04EW OR REPLACEMENT INSTALLATION and/or DRE-PIPIE
TYPE OF FIXTURE QTY TYPE OF FIXTURE CITY
Bathtub 3 Septic Tank&Pit
Clothes Washer I Shower 1
Dishwasher I Shower Pan 1
Drinking Fountain Slop Sink
Floor Drain 1 Three Compartment Sink
Floor Sink Toilet 4
Hose Bibs 2 Urinal
Kitchen Sink 1 Vacuum Breakers 2
Laundry Tray 1 Water Connected Appliances 2
Lavatory 5 Water Heater
Other Fixtures Water Treating System
DAISCELLANEOUS
[]Smer Replacement
[]Back Flow Preventer
El Lawn Sprinkler System(number of sprinkler heads)-
03rease Interceptor(Trap)_gallons(Requires 3 sets of plans)
[:]Well**SjRWD Well Compietion Fotm.Completed form to be submitted to the Building Depaftment for final Inspection.
DOther
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 the provisions
of any other state or local law regulation coqstruction or the performance of construction.
Owner Name: Phone Number:
Plumbing Company: B and G plumbing Co Office Phone:B042233585 Fax9042233585
Co.Address:2232 Corporate Square Blvd City: Jacksonville State: FI Zip:32216
License Holder: Gene C Rover ta e Certification/Registration#CFC 022593
Notarized Signature of License Holder_ , 4 0 b . �
WIM. �40VAAA 201L in the State of Florida,
The foregoinginstrument was acknowledged before me this i--L--Oay Of
County
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Boxed Ano Type of Identification:
Uodoft,dla/17118
Cash Register Receipt Receipt Number
City of Atlantic Beach R7397
DESCRIPTION
PermitTRAK $242.93
PLRS18-0274 Address: 791 PARADISE LN APN: 172376 0170 $242.93
PLUMBING $237.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 26 $182.00
STATE SURCHARGES ��:23
STATE D BP R SU RCHARG E 455-0000-208-0700 0 $35
STATE DCA SURCHARGE
TOTAL FEES PAID BY RECEIPT: R7397 $242.93
Date Paid: Monday, November 19, 2018
Paid By: B&G PLUMBING, HEATING &AIR CONDITIONI
Cashier: CB
Pay Method: CREDIT CARD 60587
Printed:Monday,November 19,2018 11:22 AM 1 of 1
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS18-0274
800 SEMINOLE ROAD ISSUED: 11/19/2018
S ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2019
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:
791 PARADISE LN PLUMBING RESIDENTIAL NEW SINGLE FAMILY $0.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1723760170 PARADISE PRESERVE
COMPANY: ADDRESS:
CITY: STATE: ZIP:
B & G PLUMBING,
HEATING &AIR 2232 Corparate Square Blvd JACKSONVILLE FL 32216
CONDITIONI
OWNER: ADDRESS: CITY: STATE: ZIP:
SPRINGFIELD BUILDERS LLC 1881 BEACH AVE ATLANTIC BEACH FL 32233
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 PAIDAMOUNT
PLUMBING BASE FEE 455 0000-322-1000 0 $55,00
PLUMBING FIXTURES 455 0000�322 1000 26 $18200
STATE BAHR SURCHARGE 4SS-0000-2011 0700 0 $3 56
STATE DCA SURCHARGE 455-MO-208 0600 0 $2 37
TOTAL:$242.93
Issued Date:11/19/2018 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLR518-0274
800 SEMINOLE ROAD ISSUED: 11/19/2018
EXPIRES: 5/18/2019
ATLANTIC BEACH. FL 32233
Issued Date:11/19/2018 2 of 2