750 Redfin Dr PLRS19-0173 Shower Pan PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
V CITY OF ATLANTIC BEACH PLRS19-0173
800 SEMINOLE ROAD ISSUED: 9/18/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/16/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF • OF ORDINANCES .
ALL CONDITIONS OF . .
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:
750 REDFIN DR PLUMBING RESIDENTIAL PLUMBING -SHOWER PAN $1000.00
TYPE OF
ZONING: : • •
i • GROUP:
1713110000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
MR ROOTER PLUMBING 29 Enterprise DR BUNNELL FL 32110
OWNER: ADDRESS: CITY: STATE: ZIP:
ROSE BRIAN JOSEPH 750 REDFIN DR ATLANTIC BEACH FL 32233-3902
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.
Of
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 $55.00
PLUMBING FIXTURES 45S-0000-322-1000 0 $0.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $66.00
Issued Date:9/18/2019 1 of 2
PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
r ,r PLR519-0173
CITY OF ATLANTIC BEACH
8
ISSUED: 9/18/2019
00 SEMINOLE ROAD
31119, ATLANTIC BEACH. FL 32233 EXPIRES: 3/16/2020
Issued Date: 9/18/2019 2 of 2
Plumbing Permit Application **ALL INFORMATION
HIGHLIGHTED IN
p' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 '
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 750 Redfin Drive Atlantic Beach, FL 32233 PROJECT VALUE $1.000
✓❑VEW OR REPLACEMENT INSTALLATION and/or [IRE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan 1
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS t
❑Sewer Replacement
❑Back Flow Preventer
❑Lawn Sprinkler System (number of sprinkler heads)
03rease 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:Amy Rose Phone Number: (904)451-2593
Plumbing Company: Mr Rooter Plumbing Office Phone: (386)439-3333 Fax(386)264-6732
Co. Address: 29 Enterprise Dr City: Bunnell State: FL Zip: 32210
License Holder: CFC1429533 State Certification/Registration #
Notarized Signature of License Holder ..�`—�
The foregoing instrument was acknowle ed before me this/-2A day of 20-6 in the State of Florida,
County of
yiigSignature of Notary Public
tage of Fimida
er Personally Known OR [ j Produced Identification
GG 318417
023 Type of Identification:
Updated 10/17/18
Cash Register Receipt Receipt Number
City of
R10332
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $66.00
PLRS19-0173 Address: 750 REDFIN DR APN: 171311 0000 $66.00
PLUMBING $62.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 1 $7.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
• $66.00
Date Paid: Wednesday, September 18, 2019
Paid By: MR ROOTER PLUMBING
Cashier: CB
Pay Method: CREDIT CARD 1
00.
Printed:Wednesday,September 18,2019 8:38 AM 1 of 1
Cash
City of Atlantic Beach v
R10455
'�•Ji3 fir'
DESCRIPTION • QTY PAID
PermitTRAK $55.00
PLRS19-0173 Address: 750 REDFIN DR APN: 1713110000 $55.00
PLUMBING FINAL"09/20/2019 RBE $55.00
PLUMBING FINAL"09/20/2019 RBE 455-0000-322-1002 0 $55.00
TOTAL1411
Date Paid: Tuesday, September 24, 2019
Paid By: MR ROOTER PLUMBING
Cashier: CB
Pay Method: CREDIT CARD 8
Printed:Tuesday,September 24,2019 3:29 PM 1 of 1