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1827 Ocean Grove Dr water softnr 2013 v CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !� ti ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jia Application Number . . . . . 13-00002974 Date 6/28/13 Property Address . . . . . . 1827 OCEAN GROVE DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc WATER SOFTNER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COUGHLIN KELI A & AFFORDABLE WATER/KINDER INC JOYCE CHRISTOPHER J. 3760 KORI ROAD 1827 OCEAN GROVE DR JACKSONVILLE FL 32257 ATLANTIC BEACH FL 32233 (904) 262-0197 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/25/13 ---------------------------------------------------------------------------- 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: 162.1 OCEAN Gizo-4F_ 'D&601E AILCIAL jLh _PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ &G -00 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 Lavatory Water Heater 01 Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other I`ermit 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 her specif rhis application and know the same to b to and violate the provisions sons of any other state or local lawrovisions of laws and ordinances regu atilonthis work construction lbe complied with or the performance of constructional carr not. The permit does not gree authorityp 9u4 �12—rJ y 5q Property Owners Name C-N psi o P hE2 � �E G 'Jay CE _Phone Number _ FFoR p -- �q•j'-�( OfficePhone�t�2-01`��I Fax o� ��_�zgz Plumbing Company /� �. p 32.25 Co. Address: 3 r�G�0 k o K + 'ROAD . . City �cKS L n� le State Zi State Certification/Registration# 000 8 18 6 License Holder(Print): Notarized Signature of License Hotder J: 'l2'�G��C �� �G, Notary Public state of Florida Sworn and subscribed bef e this day of 20 13 Dorothy M Devore My Commission EE 854381 Signature of Notary P lie pf Expires 02/0912017