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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 �.JI�){� 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 ---------------------------------------------------------------------------- Application desc water softner ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PATTERSON, JARED M AFFORDABLE WATER/KINDER INC 1640 SEA OATS DRIVE 3760 KORI ROAD ATLANTIC BEACH FL 322335836 JACKSONVILLE FL 32257 (904) 262-0197 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/13 -------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 --------------------------------------------------------------------- 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