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900 PLAZA #12 PLUMBING CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NE7R DAY INSPECTION: 247-5814 IOBINFORMATION: Job ID: 15-PLBG-507 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 12 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 GENERALCONTRACiOR 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: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 09 2015 08:48AM Empire 9047252257 page 5 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904) 247-5845 JoB ADDRESS: 900 PL�ZA DRa ATLANTIC BEACH FL 32233 UNIT 16 PERIVIFT# NEW OR REPLACEMEINT INSTALLATION: Project Value$ TYPEOFFA'TVJI E QTY TYPE oFFLm7RE QTY Bathtub Septic Tank ffi Pk Clothes Washer j 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 2_ Water Treating System I RE-PIPE: TYPEOFFMTU�E QTY TYPE OF FIXTURE QTY Bathtub ! Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fourd" Slop Sink Floor Drain i Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink j 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 plans ❑ Lawn Sprinkler System- umber of Heads 11 Well a• •+<SJRWD Well Corrlpletio 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 does no commence within a six month period or wart is suspended or abandoned for six months,I horeby certify that I have rez this application and know the same ache true and correct. All provisions of laws and ordinances governing this work will be complied with whether specifier or not. The permit does not give aatkority m violate the PMVlalatra of any other stare or local law regulation connmetion or the perfomunee ofconstrucnon. Property Owners Name i SETA OATS ACQUISMONS Phone Number 904-246.6474 Plumbing Company FLORIDA EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 904-725-2257 Co. Address: 5358 HIDDE�1 GARDENS DR City JACKSONVILLE State Zip 32258 E6 License Holder(Print):E vis Luka' State Certification/Registrationo#CFC 1427347 Notarized Signature ofLidense Holder LST Swom and subscribed before me this day of 20_