900 PLAZA #91 PLUMBING CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
I
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-504
Job Type: PLUMBING ONLY
Description: 2 FIXTURES UNIT 91
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 "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDINCCODES.
Mar 09 2015 08:48AM Empire 9047252257 page 2
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 p
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT / PERMIT#
NEW OR REPLACEME14T INSTALLATION: Project Values
TYPEOFF,Nru� QTY TYPE OFFmrvRE QTY
Bathtub Septic Tank&Pit
Clothes Washer j 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
i
RE-PIPE:
TYPE OFFIXTU* QTY TYPE oFFIXTuAE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountaiq 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 o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 seta of plans
0 Lawn Sprinkler System-Number of Heads 0 Well **
*" VRWD Well Completiot Form. Completeddotm toto 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 t commnam within a six month period or work is suspended ar abandoned for six months.I hereby certify that I have res
this application and know the sats tb be hue and correct. All provisions of lawn and ordinances governing this work will be complied with whether specified
or no[ The permit does notgive authority to violate the provisions of any other state or local law regulation construction or the performance of conswction.
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: 535 ARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print): E vis Luka- State Certifieafion/Re istration# CFC 1427347
Notarized Signature ofLicense!folder �iJ / OJ /
Sworn and subscribed before me this day of 20_