900 PLAZA #15 PLUMBING ty1Jr�,,
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-508
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 15
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: $80.00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 08:49AM Empire 9047252257 page 6
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS:900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT r PERMIT#
NEW OR REPLACEME14T INSTALLATION: Project Value$
TYPEOFFIXTU4 QTY TYPEOFFLYTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer I Shower
Dishwasher Shower Pan
Drinking Fountaini Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory I Water Heater
Other Fixtures 2_ Water Treating System
RE-PIPE:
TYPE oFFixtruo 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
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other F-udives I_ Water Treating System
MISCELLANEOUS: :
0 Sewer Replacement 0 Pack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plane:
0 Lawn Sprinkler System-Number of Heads ❑ Well
**SJR WD Well Compledorli Form. Completed form to be submitted to the Building Department for final inspection.*'
0 Other REPLACE TWO MOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if work does rot commence within a six month period or work is suspended or abandoned for six months.I hereby certify thatl Lave res
this applicatim and knowthe same to be We and correct- All provisions of laws and ordinances governing this wart will be complied with whether specified
or not The permitdoes not give au*ority in violate the provisions of my other slate or local law regulation construction or the porimmmoe ofconstruction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246.6474
Plumbing Company FLORIDA EMPIRE PLUMBING,INC Office Phone 904465-2538 Fax 904-725-2257
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print): Evis Luka' State Certification/Registration# CFC 1427347
Notarized Signature of Licrnse Holder �i� Pi 1P
Swom and subscribed before me this day of 20_