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
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