725 Redfin 2013 water softner CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 13-00003182 Date 8/01/13
Property Address . . . . . . 725 REDFIN DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Applic tion desc
water softner
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Owner Contractor
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HEALEY, KRISTINA MARIE AFFORDABLE WATER/KINDER INC
725 RE FIN DRIVE 3760 KORI ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 262-0197
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Permit PLUMBING PERMIT
Additional desc .
Permit Fee 62 . 00 Plan Check Fee . 00
Issue ate . . . Valuation 0
Expiration Date . . 1/28/14
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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 APPROV D 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 1 .3S192 Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: -1 2 r�ed�l DRt De. La n�i c T3ect ch PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIX URE 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 Fix TURE 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
Sink Vacuum Breakers
Kitchen S
Laundry in Water Connected Appliances
Lavatory Water Heater 4
Other Fixtures Water Treating System
MISCELLANEOUS: gallons(Requires 3 sets of plans)
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) g (R 9
❑ Lawn Sprinkler System-Number of Heads
❑ Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
Q Other
'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
this application and know the same to be true and elate correct.
e t provisions provisions
any other state ors and local law ces gegu regulation his work lor the performance ofbe complied with econstruct on.ther d
or not. The permit does not give authority P 9 oy-2�2-o 197
Property Owners Nam
IAC R I Ski n a N e a e _Phone Number _
.� Office Phone o�2-�I`�1 Fax 2�0+tO�-9
Plumbing Company FFe R D p 3225
Co. Address: `-l6 K
0 t ROA CityJcKSon�tjje State EL_Zi
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State Certification/Registration# wo 8 1
License Holder(Print):
8
Notarized Signature o License Hotder
' UL 2oi3
Notaryt«� Sworn and subscribed bef e this 31 day of
re 8 3s, Signature of Notary P lic
7