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900 PLAZA #18 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-509 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 18 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: 845 MAYPORT RD SUITE 5 845 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: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES Mar 09 2015 08:49AM Empire 9047252257 page 7 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904) 247-5845 JOB ADDREss: 900 PLATA DR,ATLANTIC BEACH FL 32233 UNIT M PERMIT# i NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPEOFFIXW# QTY TYPE oFFmTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain i 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: TYPEOFFLUViM QTY TYPEoFFLYTzrRE 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 i Water Connected Appliances Lavatory Water Hooter Other Fixtures i 1_ Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ k Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans ❑ Lawn Sprinkler System-�umber of Heads ❑ Well "* **SJR WD Well ComplehoI Form. Completed form to be submitted to the 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 docs commence within a six most period or work is suspended arabandrmed for six months.I hereby certify that I have rea this application and know the same tp be true end raamea All provisions oflaws and ordinances governing this work will be complied with whether specified or DOL The permit does not give aur¢odty to violate the provisions of my Weer some or local law regulation construction or the performance of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIPA EMPIRE PLUMBING,INC Office Phone 904-065-2538 Fax 904725-2257 Co. Address: 5358 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print):E via Luka' State Certification/Registration# CFC 1427347 Notarized Signature of L nse Halder Swom and subscribed before me this day of_ 20_