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_