900 Plaza 2015 plumb for remodel -jy�.l�fr
1f ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+� r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-111
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 83
Estimated Value:
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone• - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:59PM Empire 9047252257 page 16
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # e-3 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE Qry
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 2 Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE Q r'
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 1 Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans,
❑ Lawn Sprinkler System-Number of Heads
:j Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.*,
D other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANI
WATER LINE
Permit 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 rea
this application and know the same to be true and correct. All provisions of laws and ordinances governingthis work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING INC Office Phone 904-465-2538_Fax 904-725-2251
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ tate Certification/Registration# CFC 1427347
Notarized Signature of License Holder � �
s r It CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
.� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-102
Job Type: PLUMBING ONLY
Description: 3 fixtures UNIT 56
Estimated Value:
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:57PM Empire 9047252257 Page 8
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
.TOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # JV PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 1 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
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
C Sewer Replacement o Back Flow Preventer o Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
L, Lawn Sprinkler System-Number of Heads o Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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
Lhis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
ar not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration # CFC 1427347_
Votarized Signature of License Holder ' s .��
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-113
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 87
Estimated Value:
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 08:OOPM Empire 9047252257 page 18
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT# PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 2 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
Other Fixtures ] Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans
D Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.*
❑ Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANI
WATER LINE
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.L hereby certify that[have rea
this application and know the same to he true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-225
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Halder(Print): ELVIS LUKAJ �� _�
Oo State Certification/Registration# CFC 1427347
Notarized Signature of License Holder cam''c � "
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-95
Job Type: PLUMBING ONLY
Description: 3 fixtures
Estimated Value:
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - - —
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:56PM Empire 9047252257 page 1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # 7 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OFFiXTURE QT'
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 I Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OFFMTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures 1 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 m letion Form. rm to be submitte tEYtli� wilding ep7;D
final inspection.*i
Fer RjiLACE O HOWER V OOK ONE W — IN AND
ERINE
Pei 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 rea,
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law rcgulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538`Fax 904-725-2257
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ Stote Certification/Registration 9 CFC 1427347
Notarized Signature of License Holder
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-112
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 85
Estimated Value:
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 08:OOPM Empire 9047252257 page 17
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT H-95",
PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OFFIXTURE 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 2 Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE 4F 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 l 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 REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANE
WATER LINE
Permit 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 teat
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING. INC Office Phone 904-465-2538—Fax 904-725-2257
Co, Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LU ICA tate Certification/Registration# CFC 1427347.
Notarized Signature of License Holder
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-56
Job Type: RESIDENTIAL ALTERATION
Description: interior remodel
Estimated Value: $11,000.00
Issue Date: 1/22/2015
Expiration Date: 7/21/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: PLATINUM BUILDERS OF PALATKA
Address: 2987 S ATLANTIC AVE APT 2103 JAMES LE
AKE
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
City of Atlantic Beach APPLICATION NUMBER
. ,, Building Department (To be assigned by he Building Department.)
800 Seminole Road
v' Atlantic Beach, Florida 32233-5445 4
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
// , Department review required Yes o
n
Property Address:
uildi
Hing &Zoning
Applicant: Tree Administrator
Project: 6DD/i 4 a&d Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: Approved. []Denied.
(Circle one.) Comments:
BUILDIN
PLANNING&ZONING Reviewed by: zoi Date:1'2e)'
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION t
CITY OF ATLANTIC BEACH FILEP Y
800 Seminole Road, Atlantic Beach, FL 32233trr� t.. .�-z... �. r
Vn t �4<3 '2 Office (904) 247-5826 Fax (904) 247-5845
Job Address: Cl Do PIAZ,A NLt u:: 3r:" 9, 31233 Permit Number: 15 ',2/a)9y S6
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ cam.aiz- , Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Additionlteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): �. e
Residential
If an existing structure,is a fire sprinkler system instalone): Yes No N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detailthe type of work to be peperformed:5e G �Ackcj 04AAc+
Property Owner Information: j / / /
NamA�9�
�t LLCAddress: b Y,1T /My2p2� P"a D ✓t 1 r 5
City StateTJ Zip3Z-t3J Phone 4'yV-23'7 $/J-?
E-Mail or Fax# (Optional) !)I A
Contractor Information: CONTRACTOR EMAIL ADDRESS:
e
Company Namv )AA1c Qualify' ,Agent: -7S-4 L S L c�AL E
Address:Z:�jSo St2A !A- c, A,C City State 7V7A Zip _ �1\�
Office Phone '3�N-M- Job Site/Contact 01 Fax
State Certification/Registration 4 Q C i S 1`574
Architect Name & Phone# A\A
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rf work is not commenced within six(6)months, or if construction or work is suspended ended or abandoned for n period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
'here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
ype certify
will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
rrovistons of any other federal,state, or local law regulating construction or the performance of construction.
signature of Owner Signature of Contract r
'Tint Name .G...rZ..._......._......_.....__..._............ Print Name Ar S.............._.........�r-�. . ....... ............... .
tefo Beforle
lis ay o 167 20 this Day of J,pviv rt 20 57
a��• Notary Public State of Florida ° Notary Public State of Florida
IO ub11C iza Peters Nota P11b11C My Commission EE 172364
} "� My Commission EE 772364Q�poi Expires 02122!2016
Expires 02/22/2016 w/��
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 171725-0500
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes.the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved.F 34-92 38-2S-29E
See Attached Legal Description ROYAL PALMS ACRES � '�
Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233
Unit Number 87
General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets
Remodel Bath room shower,new flooring and paint
Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz
Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Platinum Builders of Palatica,Inc
{ /) Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118
Phone No. 904-237-8107 Fax No. 704-394-0462
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name James Shear
Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233
Phone No. 904-247-5334 ext.344 Fax No.904-853-6926
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name Tim Broom
Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216
Phone No. 204-394-6969 Fax No. 204-394-0462
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: DTE
Before me is da f in the
County of Duv tate of Florida,has pe all ppe re
er i b
Doc#201500851 7,OR BK 1%033 Page 576,
himself/herself and affirms that all sta n a n rMn
g are true and accurate O,Wy°Gay Notary Public State of Florida
Number Pages: 1 Elizabeth E Peters
Recorded 01(13/2015 at 01:20 PM, � - Q My Commission EE 172364
Ronnie Fussell CLERK CIRCUIT COURT DUVAL p'�oFtto�' Expires 02/22/2016
COUNTY
RECORDING$10.00 Notaryu li at I-Orge,st of county of j1214 DL�
My commission expires L if j/7 P/Z
Personally Known V I or
Produced Identification
- w>>`J r
t, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
a ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 15-PLBG-110
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 148
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:59PM Empire 9047252257 page 15
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JoB ADDRESS: 90 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT #_PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Stop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
LaundryTray Water Connected Appliances
Lavatory Water Heater
Other Fixtures 2 Water Treating System
RE-PIPE:
TYPE OFFIXTURE QTY TYPE of FIXT&RE 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 1 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
**SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_
t '
'Votarized Signature of License Holder
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J - _ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-104
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 76
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:58PM Empire 9047252257 page 10
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT# PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 2 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
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
:3 Sewer Replacement o 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.**
E: Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538rFax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder (Print): ELVIS LUKAJ State Certification/Registration 4 CFC 1427347_
Notarized Signature of License Holder 'J �/
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-109
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 142
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:59PM Empire 9047252257 page 14
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Pb (904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 900 PLAZA DR, ATLANTIC BEACH FL 32233 UNIT# ��Z PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FrXTURE 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 2 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
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
c Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans.
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**STRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.'
o Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANL
WATER LINE
Permit 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 rea,
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347
Notarized Signature of License Holder is � �
s, CITY OF ATLANTIC BEACH
v 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-108
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 134
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:59PM Empire 9047252257 page 13
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 2 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
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer o 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 REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 1 have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_
Notarized Signature of License Holder zj
r °t, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-105
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 121
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:58PM Empire 9047252257 page 11
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT #12 L/ PERAUT 4
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE PE 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 2 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
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads o Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
❑ Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING. INC Office Phone 904-465-2538�Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_
Notarized Signature of License Holder
CITY OF ATLANTIC BEACH
�l 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-106
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 128
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:58PM Empire 9047252257 page 12
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JoB ADDRESS: 900 PLAZA DR, ATLANTIC BEACH FL 32.233 UNIT#_ i PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value$
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 2 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 Stop 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 1 Water Treating System
MISCELLANEOUS:
c Sewer Replacement o Back Flow Preventer o 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 REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANI
WATERLINE
Permit 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 1 have rea
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING INC Office Phone 904-465-2538_Fax 904-725-225;
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ Statq Certification/Registration# CFC 1427347
Notarized Signature of License Holder
J�
s, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
} v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�t
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-99
Job Type: PLUMBING ONLY 1 ��
Description: 3 fixtures �,� t
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:56PM Empire 9047252257 page 5
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
Jos ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # &2.3 PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 1 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
Other Fixtures1 Water Treating System
MISCELLANEOUS:
5
o Sewer Replacement ❑ Back Flow Preventer O Grease Interceptor(Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads o Well **
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
o Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months, 1 hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538�Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS L KAJ State Certification/Registration # CFC 1427347_
Votarized Signature of License Holder
�� r 11 SS CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-98
Job Type: PLUMBING ONLY 1 O
Description: 3 fixtures
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:56PM Empire 9047252257 page 4
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAzA DR,ATLANTIC BEACH FL 32233 UNIT # /6)J PERmrr#
NEW OR REPLACEMENT INSTALLATION: Project Value $
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 1 Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QT'
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 1 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 REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND
WATERLINE
Permit 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 correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC_Office Phone 904-465-2538_Fax 904-725-2257_
Co. Address: 5359 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder (Print): ELVIS LUKAJ��±- State Certification/Registration 4 CFC 1427347_
Notarized Signature of License Holder /fes
CITY OF ATLANTIC BEACH
s� 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-97
Job Type: PLUMBING ONLY
Description: 3 fixtures
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS: 1 , ;+
Address: 900 Plaza �J�t �� l -1
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:56PM Empire 9047252257 page 3
• PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT#93 PERMIT #
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OFFIXTURE 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 1 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 Neater
Other Fixtures 1 Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ::i Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
** SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
❑ Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 1 have read
this application and know the same to be true and correct. All provisions of taws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538�Fax 904-725-2257_
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_
Nrotarized Signature of License Holder �S '/
r 5, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-103
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 11
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA EMPIRE PLUMBING INC
Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ
Phone: - -
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $21.00
Trade Permit Base Fee $55.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 14 2015 07:57PM Empire 9047252257 Page 9
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE OF FIXTURE Qr'
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 2 Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QT'
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
MISCELLANEOUS: gallons(Requires 3 sets of plans)
❑ Sewer Replacement c3 Back Flow Preventer ❑ Grease Interceptor (Trap) g
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJRWD Well Completion Form. Completed farm to be submitted to the Building Department for final inspection.**
❑ Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND
WATER LINE
Permit 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 1 have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or no[. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction
Property O-wners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIDA EMPIRE PLUMBING INC Office Phone 904-465-2538_Fax 904-725-2257-
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258
License Holder (Print): ELVIS LUKAJ Z7117
State CertificationlRegistration# CFC 1427347_
Notarized Signature of Dense Holder
6�