1640 SEa Oats Dr 2013 water softner CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
��11 INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002920 Date 6/24/13
Property Address . . . . . . 1640 SEA OATS DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
water softner
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Owner Contractor
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PATTERSON, JARED M AFFORDABLE WATER/KINDER INC
1640 SEA OATS DRIVE 3760 KORI ROAD
ATLANTIC BEACH FL 322335836 JACKSONVILLE FL 32257
(904) 262-0197
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/21/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: i�4O SER OA"f5 �DFti uE , A�Lar�ii c `Bead PERMrr#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY' TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
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
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
La
unWater Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: gallons(Requires 3 sets of plans)
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) g
❑ Lawn Sprinkler System-Number of Heads El Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
} Tereby certify that I have r six d
Permit becomes void if work does not commence within a ix monthperi od laws and ordinances or work is suspended
or aba donethis d work will nt complied with whether specified
this application and know the same to be true and correct. provisions
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 con�5 S 3
Phone Number q0
Property Owners Name den ri i der Pa }}ter
vU,4T£ Office Phone c�2-0 I�1� Fax oz�o+to i 9 Z
Plumbing Company FFo R D A [� p 3 225
Co. Address: 3`76 0 K
o R � ROA D City State t_ Zi
License Holder Print): m a E State Certification/Registration# �� 18�'
L ( F
Notarized Signature of License Holder u ne 20 13
yER
le of FloridaSworn and subscribed bef e this 19 day of
oreEE 854381 Signature of Notary P lic17