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900 PLAZA #21 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-510 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 21 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 CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 09 2015 08:49AM Empire 9047252257 page S 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 PLI*ZA DR,ATLANTIC BEACH FL 32233 UNIT 71 PERMrr# NEW OR REPLACEMENT INSTALLATION: Project Values TYPE OFFIXTU# QTY TYPEOFFIXTORE QTY Bathtub Septic Tank&Pit Clothes Washer 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 2_ Water Treating System RE-PIPE: TYPEOFFIXTUI(E QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower — Dishwasher Shower Pan Drinking Fountain Slop Sink — Floor Drain Three Compartment Sink Floor Sink Toilet — How Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater — Other Fixtures I Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plana: ❑ Lawn Sprinkler System Number of Heads ❑ Well •• SIRwD well Completion Form. Completed form to be submitted to a Building Department for final inspection." ❑ Other REPLACE TWO SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER LINE Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have rea thu application and know the same to be we and correct. All provisions of laws and ordinances governing this work will be complied with whether specimed mnot The permit does not give eut�ority to violate the provisions of any other stat or local law regulation construction Or the performance of eoosruaioa 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: 5358 HH)DE�GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print): EMS Lukai State Certification//RR.eg`istration# CFC 1427347 Notarized Signature ofLlepnse Holder i Sworn and subscribed before me this day of 20_