36 DUDLEY ST PLRS19-0061 PLUMB PERM PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
PLRS19-0061
0. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/27/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 9/23/2019
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:
36 DUDLEY ST PLUMBING RESIDENTIAL 12 FIXTURES FOR INTERIOR $8904.00
REMODEL
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1722050000 DONNERS R/P
COMPANY: ADDRESS: CITY: STATE: ZIP:
PRESTO PLUMBING LLC 6114 GOODMAN RD JACKSONVILLE FL 32244
OWNER: ADDRESS: CITY: STATE: ZIP:
L I
MKS HOMES INC. 14092 SUMMER BREEZE DR JACKSONVILLE FL 32218
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 4SS-0000-322-1000 0 $S5.00
PLUMBING FIXTURES 4SS-0000-322-1000 12 $84.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
TOTAL: $143.09
Issued Date: 3/27/2019 1 of 2
Plumbing Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build..in,g-Dept@coab.us PERMIT#'W-
5
L
JOB ADDRESS: 36 Dudley St Atlantic Beach, FL 32233 PROJECT VALUE $8,904.00
0YEW OR REPLACEMENT INSTALLATION and/or EIRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 2 Septic Tank & Pit
Clothes Washer 1 Shower
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs 2 Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 Water Heater 1
Other Fixtures Water Treating System
E]MISCELLANEOUS
[]sewer Replacement
E]Back Flow Preventer
E3 Lawn Sprinkler System (number of sprinkler heads)
arease interceptor (Trap) 0-1
_gallons (Requires 3 sets of plans)
n 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:MKS Homes INC Phone Number: (904)423-6275
Plumbing Company: Presto Plumbing LLC Office Phone: (904)647-1820 Fax
Co. Address: 6114 Goodman Rd CitV: Jacksonville State: FIL Zip: 32244
License Holder: Paul Eric Forster State Certification/Registration# CFC1429261
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this2A 0 day of�Aa 20JG, in the State of Florida,
Countyof �Njk�lc"
MELISSA ORDWAY Signature of Notary Publi r\
NoTmy pUeW-STATE OF RLOPJDA 77
COMMISSION#GG 0186 fv(Personally Known OR Produced Identification
My Comm!"on Expires August 02,2019
Type of Identification:
UPda ted 10/17118
Cash Register Receipt Receip Number
City of Atlantic Beach R8566
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $143.09
PLRS19-0061 Address: 36 DUDLEY ST APN: 172205 0000 $143.09
PLUMBING $139.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 12 $84.00
STATE SURCHARGES $4.09
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8566 $143.09
Date Paid: Wednesday, March 27, 2019
Paid By: PRESTO PLUMBING LLC
Cashier: CB
Pay Method: CREDIT CARD 5507d
001%
Printed:Wednesday, March 27,2019 9:06 AM 1 of 1 1
Cash Register Receipt Receipt Number
City of Atlantic Beach R9719
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $55.00
PLRS19-0061 Address: 36 DUDLEY ST APN: 172205 0000 $55.00
PLUMBING ROUGH 06/14/2019 RBE $55.00
PLUMBING ROUGH 06/14/2019 RBE 455 0000-322-1002 0 $55007
TOTAL FEES PAID BY RECEIPT: R9719 $55.00
Date Paid: Tuesday, July 30, 2019
Paid By: PRESTO PLUMBING LLC
Cashier: CB
Pay Method: CREDIT CARD 4
Printed:Tuesday,July 30, 2019 9:12 AM I of 1