900 PLAZA #94 PLUMBING . ?f�IJrn
.� V CITY OF ATLANTIC BEACH
rI 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-505
Job Type: PLUMBING ONLY
Description: 2 FIXTURES UNIT 94
Estimated Value:
Issue Date: 3/13/2015
Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SFA 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 Oa:4sAM Empire 9047252257 page 3
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Sentinole 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 S
TYPE OFFIXTOttia QTY TYPEOFFIXTGRE QTY
Bathtub Septic Tank,&Pit
Clothes Washer Showcr
Dishwasher Shower Pan
Dritddng Fountaid Slop Sink
Floor Dmm Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink ! Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Odier Fixtures I Water Treating System
RE-PIPE:
TYPEOFFIXTOI�E QTY TYPEOFFIXTORE QTY
Bathtub Septic Tank&Pit
Clothes Washer ', Shower
Dishwasher Shower Pan
Drinking Founmhj 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 ❑ r aek Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans
❑ Lawn Sprinkler System-dumber of Heads ❑ Well •*
*•SJR WD Well CompleNo#t Form. Completed form to be submitted to the Buil ng Department for final inspection.
❑ Other REPLACE ONE SIHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if work does nor commence within a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have reg
this application and know the same m be one and correct All provisions of laws and ordinances governing this work will be complied with whether specifier
or out. The permit does not give authority to violate the provislons of any other since or lural law regulation construction or the performance of construction.
Property Owners Name SIA 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): EMs Luka' State Ceitifi'ccaation/RcgJJistr'aation 4 CFC 1427347
Notariud Signatwre of Licimure HoMer
Sworn and subscribed before me this day of 20_