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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 ---------------------------------------------------------------------------- Application desc water softner ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MENDE, RICHARD T AFFORDABLE WATER/KINDER INC 685 SAILFISH DR E 3760 KORI ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 262-0197 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc WATER SOFTNER Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/20/14 ---------------------------------------------------------------------------- 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. 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