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900 PLAZA #31 PLUMBING CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 R.-. INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION• 247-5814 JOB INFORMATION: Job ID: 15-PLBG-503 Job Type: PLUMBING ONLY Description: 2fixtures UNIT 31 Estimated Value: Issue Date: 3/13/2015 _Expiration Date: 9/9/2015 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 $14.00 Trade Permit Base Fee $55.00 Total Payments: $73.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORBIA BUILDING CODES Mar 09 2015 08:48AM 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 JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT i_PERMIT# I NEW OR REPLACEME�T INSTALLATION: Project Value S TYPEOFFIXTU* QTY TYPE oFFfXTL'RE QTY Bathtub i 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 j Vacuum Breakers Laundry Troy Water Connected Appliances Lavatory Water Heater Other Fixtures ', 1_ Water Treating System RE-PIPE: TYPEOFFIXTua QTY TYPEOFFIXTURE 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 Landry Tray Water Connected Appliances Lavern ty Water Heater Other Fixtures I_ Water Treating System MISCELLANEOUS: ! ❑ Sewer Replacement ❑ Pack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans ❑ Lawn Sprinkler System umber of Heads El Well ** **SJRWD Well Compleffo Form. Completed�to be submitted to the Building Department for final inspection.* ❑ Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER LINE Permit becomes void if work does n commence wtMio a six month period w work is suspended or abandoned for six months.l hereby certify that I have ren this application and know the same rp be nue and cost. All provisions of laws and ordinances governing this work will be complied with whether specifia or not the permit does not give authority to violate the provisions of my other nem or local law regulation connruction or the performance of construction. Property Owners Name S91A OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLOL A EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 914-725-2257 Co. Address: 58 F )E GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print):Fjvis Luka' State Certification/Regi trait. # CFC 1427347 Notarized Signature ofLk*nse Holder °f / e2r O Sworn and subscribed before me this day of 20_