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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_