900 PLAZA #104 PLUMBING 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-506
Job Type: PLUMBING ONLY
Description: 2 FIXTURES UNIT 104
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: $73.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 08:48AM Empire 9047252257 page 4
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRFss: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT /D�PERMTT#
i
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTu QTY TYPEOFFDrwRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountai 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: J,
TYPEoFFUTVA QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountan 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 Frrmtres l_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Pack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets or plans
D Lawn Sprinkler System-Number of Heads ❑ Well **
**SIRWD Well Compleelo(I Form. Completed form to be submitted toet r�g Department for final inspection.*
❑ Other REPLACE ONE SlIOWER VALVE,HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if wont does net cmar ence within a six month period or wort is suspended or abandoned for six months.I hereby certify that I have res
this application and know are samebe ue and corrasp
l. All provisions of laws and ardinances governing this work will be complied with whether ecified
cr not. The permit does=give authority
wdty m violate the provisions of my alter Rat or local law regulation wasunction 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 JACKSONVILLE State Zip 32258
License Holder(Print): E lvis Lukas State Certification/Registration#CFC 1427347
Notarized Signature ofLiernse Heide, pl'V
Sworn and subscribed before me this day of 20_