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385 3rd St water softner 2013 f. It CITY OF ATLANTIC BEACH . s 800 SEMINOLE ROAD LIP ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �4 rSA Application Number . . . . . 13-00003542 Date 10/17/13 Property Address . . . . . . 385 3RD ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc water treating system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CASTLE CORP OF JAX DAVID GRAY PLUMBING INC. 385 3RD ST 6491 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 724-7211 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/15/14 ---------------------------------------------------------------------------- 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. Mar 08 10 12:54p Information SystemsCFFY 0 904-247-5845 p.1 PLUMMING PER'MI'T' APPLICATION C][T ' OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 �j Ph(904) 247-5K6 Fax(904) 247-5845 Jo B ADDRESS' �C/ G( I''ERYffr - �V G REPLAC a- INSTALLATION:ALLATION: Project Value b 111 0 HYPE oFFixn)a TYrP o<-FD TUR-- ©TY Bathtub Septic Tank&Pit Clothes Washer Shewer 3is%rsvashet Shower P�= Drink'-Fountaia SlopSink b Floor Drain Thre Compartment Sint{ Floor Sin: Toilet Hose Dios Urinal Kitchen Sin_ Vacuum Breakers Laundry Tray Nater Connected Appli—c s L'avator� Water Beater Z -Other T-ix.ures Mater Treafing System Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Dr-nldna Slop Sink Floor Drain Three Campartment Sink Floor Sink Toiler Hose Bibs Urmal Kitchen Sirs VacuurnBreakers Laundry Trac- Water Connected Appliances Lavatory Water Heater Cather Fi=res WeteT Treating System �7SCFLLANEOUS: ❑ Sewer Replacomert ❑ Bask Flow Pre-venter ❑ Grease Interc ptor(Trap) gallons(Requizw 3 sets of pial ❑ La,- Spzinkler'System-�-7=ber of Heads ❑ Well T tY S.7R,WD �V21Z Conpletzop.1Va, n. Completed frrrn to be Submitted to the Building Departn-eiat for fIna :�spection.=* ❑ Other. . ^omit becomes void if woe:does not cnm�ence within a saw month period or wor_c is suspended or abandoned fors c months i hereby cy-txfy tLa3 I have rid this application and know Lhe same to be true and t11 provisions of laws and erdh=-ccs gove=--g this worn ;Yill I"earfpi cl with whetb=specified or not The 2e�ii does not give authc to vz 1a:e the prove o`an other state or local la:.v regulation construction or;he performapncc e constrr c'uen. Frcperty Owners Name Phone Naber Z-��'d G'z2@j 'trFY ?t.'; this 7 ' Plim-abing Cornpan O-Mice Phone '2'I 7� Fax-7 - 8850 :J•l_-.uare Court r Co. Address: _ city State Zip F, t. �� �� y State Certification/Registraro-r, 9 CF1 Notarized Si,"af re of Lacznse Roble,- S worr- and subscribed before me Leis da J o f 20 Sigratire of Notary Public