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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_