131 BELVEDERE ST PLUMB PERM rs�L`'fl� PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH PLRS19-0044
v 800 SEMINOLE ROAD ISSUED: 3/1/2019
�ss»r ATLANTIC BEACH. FL 32233 EXPIRES: 8/28/2019
MUST CALL INSPECTION • • 914 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
CODE, AND OF ATLANTIC +CH CODE OF ORDINANCES .
ALL 1 • OF PERMIT APPLY, . , 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:
131 BELVEDERE ST PLUMBING RESIDENTIAL 14 FIXTURES FOR NEW $7000.00
SINGLE FAMILY HOME
TYPE OF
• • GROUP:
170589 0000 SALTAIR SEC 01
COMPANY: ADDRESS:
PRESTO PLUMBING LLC 6114 GOODMAN RD JACKSONVILLE FL 32244
IN
• ADDRESS:
SALT AIR HOMES INC 226TALLWOOD RD 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 PAID AMOUNT
PLUMBING BASE FEE 4S5-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 14 $98.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $230
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $157.30
Issued Date: 3/1/2019 1 of 2
Plumbing Permit Application **ALL INFORMATION (y
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
r 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �- '�-Sl� -ODU lY
JOB ADDRESS: 131 Belvedere St PROJECT VALUE $f1C QQ) OD
✓❑YEW OR REPLACEMENT INSTALLATION and/orEIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub I Septic Tank & Pit
Clothes Washer 1 Shower 11
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 3
Hose Bibs -4 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 Water Heater 1
Other Fixtures 1 Water Treating System
CMISCELLANEOUS
[]Sewer Replacement
❑Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
❑Grease Interceptor(Trap) gallons (Requires 3 sets of plans)
❑Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection. **
❑Other
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 construction or the performance of construction.
Owner Name:Salt Air Homes Phone Number: (904)647-1820
Plumbing Company: Presto Plumbing LLC Office Phone: (904)647-1820 Fax
Co. Address: 6114 Goodman ST City: Jacksoville State: FL Zip: 32244
License Holder: Paul Eric Forster State Certification/Registration # CFC1429261
Notarized Signature of license Holder
The foregoing instrument was acknowledged before me thi qday of , 20ji�, in the State of Florida,
County of',)a:I('X Q
MELISSA ORDWAY Signature of Notary Publi
NOTARY PUBLIC•STATE OF FLORIDA
Personally Known OR [ ) Produced Identification
COMMISSION#tGG6186 (
Myr asiooExpires August D2.2D19 Type of Identification:
Updated 10/17/18
J.
Cash Register Receipt
City of Atlantic Beach ' i •
DSESC PjION • QTY PAID
PermitTRAK $157.30
PLRS19-0044 Acuress: 131 BELVEDERE ST APN: 170589 0000 $157.30
PLUMBING $153.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 14 $98.00
STATE SURCHARGES $4.30
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.30
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8295
1
Date Paid: Friday, March 01, 2019
Paid By: PRESTO PLUMBING LLC
Cashier: CT
Pay Method: CREDIT CARD 01315D
Printed: Friday,March 01,2019 9:57 AM 1 of 1
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