900 PLAZA #22 PLUMBING CITY OF ATLANTIC BEACH
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-512
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 22
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
Trade Permit Base Fee $55.00
Plumbing Fixtures $21.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 08:49AM 5npie 9047252257 page 9
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 900 PLP__ILLZA DR,ATLANTIC BEACH FL 32233 UNIT _PERMIT#
NEW OR REPLACEMEri, INSTALLATION: Project Value$
TYPEOFFIXTT/� QTY TYPE oFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Dram Three Comporhuent Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Healer
OtherFudures 2_ Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYFE of,FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain i Three Compartment Sink
Floor Sink i Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures I_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ *k Flow Pteventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection,*
❑Other REPLACE TWO SHOWER VALVE, HOOKUP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if watk floes n commence wiWin a six month period or work is suspended or abandoned for six months.I hereby ceruly that I have rea
this application and know the s®e be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give ority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLOR HIDA EMPIRE PLUMBING,INC Office Phone 904-465-2538_Fm 904-725-2257
Co.Address: HID DE ARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print):$ Luka' State Certificatio�n//Reggistmtion# CFC 1427347
Notarked Signature ofLiIsnse Holder e:!2�-r
i
Sworn and subscribed before me this day of 20_