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_