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900 PLAZA #23 PLUMBING �3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOBINFORMATION: Job ID: 15-PLBG-513 Job Type: PLUMBING ONLY Description: 2 fixtures unit 23 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 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 09 2015 0g:49AM Empire 9047252257 page 10 I 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 __Z3 PERMIT k NEW OR REPLACEMENT INSTALLATION: Project ValueS TYPE oF FixTuli E TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher I Shower Pan Drinking Fountain Slop Sink Floor Die 7 Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures �i, 2 Water Treating System RE-PIPE: TYPE OF FIXTURE 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 I Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1 Water Treating System MISCELLANEOUS: ❑ Sewer Replacement p ack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans ❑ Lawn Sprinkler System umber of Heads 0 Well " **SIRWD Well Completio Farm. Completed forin to be submitted to the Building Department for final inspection.* ❑ Other REPLACE TWO SHOWER VALVE,HOOKUP ONE WASHER MACHINE DRAIN LINE AND WATER LINE Permit becomes void if work does riot want ce within a six month period or work is suspended or abandoned for sic months.I hereby terrify that 1 have rca this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give as h ority to violate the provisions of my other stare or local law regulation construction or the pertbrruaoce of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIiDA EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 904-725-2257 Co.Address: 5358 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print): E vis Luka State Certification/Registration 4 CFC 1427347 Notarized Sign Wore ofLic{exse Holder '�Wlrr Sworn and subscribed before me this day of 20_