685 Sailfish Dr 2013 water softner CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003724 Date 11/21/13
Property Address . . . . . . 685 SAILFISH 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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MENDE, RICHARD T AFFORDABLE WATER/KINDER INC
685 SAILFISH DR E 3760 KORI ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 262-0197
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Permit PLUMBING PERMIT
Additional desc WATER SOFTNER
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/20/14
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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 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: (085 F I cl W D Rl OE EAI
PERMIT#
NEW O
R REPLACEMENT INSTALLATION: Project Value $ QP(D.00
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank& Pit
Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connccted Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Septic Tank & Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater — —
Lavatory Water Treating System _ --
Other Fixtures
MISCELLANEOUS: gallons(Requires 3 sets of plans)
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor
(Trap) **
❑ Lawn Sprinkler System-Number of Heads
❑ W
-** Com letion Form. Completed form to be submitted to the Building Department for final inspection.*
SJR�D Well p
❑ Other
r
of laws and ordinances governing this work will be complied with of constructionahether l
Termit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby ith w that I have red
is application and know the same to be true and correct. All provision
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perform' y_5C`2'y
Phone Number 0-------
Property
Property Owners Name R►c:K end `tc`j- Fax z� - 9 z
Office Phone �2-0 l 1
Plumbing Company FFo R 0 AR tEyVA r£ 3 22
City ��< K-, St State�L Zip _
Co. Address: `760 K�R � IZUA �� � �kLicense Holder(Print): h')A R
E State Certification/Registration#
Notarized Signature of License Holder da ofL'V Q''�g � 20125
,wry Public smea a Farwe Sworn and subscribed bef e this Zt� y
Dorothy M Devore
My Commission EE 854361 Signature of Notary P lic
pf Expires 02/0912017