960 Paradise Cir PLRS20-0012 23 Fixtures OE.r� % PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
VSs, CITY OF ATLANTIC BEACH PLRS20-0012
800 SEMINOLE ROAD
ISSUED: 1/27/2020
0':19r ATLANTIC BEACH. FL 32233 EXPIRES: 7/25/2020
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:
960 PARADISE CIR PLUMBING RESIDENTIAL PLUMBING - 23 FIXTURES $6000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172376 0085 PARADISE PRESERVE
COMPANY: ADDRESS: CITY: STATE: ZIP:
CANNON PLUMBING, INC. 1718 EAST CHURCH STREET JACKSONVILLE FL 32202
OWNER: ADDRESS: CITY: STATE: ZIP:
BOB CHRIS LLC 355 11TH ST 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PLUMBING BASE FEL 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 23 $161.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.24
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.16
TOTAL: $221.40
Issued Date: 1/27/2020 1 of 2
,s ,,, % PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
i
CITY OF ATLANTIC BEACH PLRS20-0012
_�% 800 SEMINOLE ROAD
ISSUED: 1/27/2020
-'`_AT ATLANTIC BEACH. FL 32233 EXPIRES: 7/25/2020
Issued Date: 1/27/2020 2 of 2
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Cash Register Receipt Receipt Number
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� City of Atlantic Beach R11565
J;3 )>r
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $221.40
PLRS20-0012 Address: 960 PARADISE CIR APN: 172376 0085 $221.40
PLUMBING $216.00
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 23 $161.00
STATE SURCHARGES $5.40
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.24
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.16
TOTAL FEES PAID BY RECEIPT: R11565 $221.40
Date Paid: Monday, January 27, 2020
Paid By: CANNON PLUMBING, INC.
Cashier: CT
Pay Method: CREDIT CARD 022211
Printed:Monday,January 27,2020 2:39 PM 1 of 1 IF
Plumbing Permit Application **ALL INFORMATION
City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 p HIGHLIGHTED
CO(
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 960 PARADISE CIRCLE PROJECT VALUE $6,000.00
[NEW OR REPLACEMENT INSTALLATION and/or ORE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 2 Septic Tank & Pit
Clothes Washer 1 Shower 3
Dishwasher 1 Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 5
Hose Bibs 2 • Urinal
Kitchen Sink 1 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 7 Water Heater 1
Other Fixtures Water Treating System
❑VIISCELLANEOUS
['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: N Phone Number:
Plumbing Company: CANNON PLUMBING INC Office Phone: (904) 744-6350 Fax
Co. Address: 1718 E CHURCH STREET City: JACKSONVILLE State: FL Zip: 32202
License Holder: OLIN CANNON State Certification/Registration $1 CFC 1426140
Notarized Signature of License Holder , --
The foregoing instrument was acknowledged before me thisc / day of 2020, in the State of Florida,
County of
Signature of Notary Public -/
try Robbie Bieler
NOTARY PUBLIC
tit
STATE OF FLORIDArsonally Known OR [ ] Produced Identification
. Cor+�r*�#GG158647 Type of Identification:
7N 014 Expires 1 1/7/2021 Updated 10/17/18