900 PLAZA #24 PLUMBING J� ?f I�.L1r7J
„ CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
w1w,
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
lob ID: 15-PLBG-514
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 24
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
GENE RAL 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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 0850AM Emore 9067252257 page 11
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 PLA.* A DR,ATLANTIC BEACH FL 32233 UNIT _,Z3r'_PERMrr#
NEW ORREPLACEMErtI INSTALLATION: Project Values
TYPE of FlXTU'_`pj, QTY 7TPE oFFLYTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountains 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 Fixtures 2_ Water Treating System
RE-PIPE:
TYPEOFFLITURE QTY TYPE of FIXTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer j 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 Fixtures 1_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Ilack Flow Prevcmer o Grease Interceptor(Tmp) gallons(Requires 3 sets of plans;
❑ Lawn Sprinkler System-Number of Heads ❑ Well *'
"'SJRWD Well Completion Form- Completed form to be submitted to the Building Department for final inspection...
❑ Other REPLACE TWO HOWER VALVE,HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if work does ndit enrnmeree within a six month period or work is suspended ee abandoned for six months.l hereby Certify that 1 have rea
Ws application and know the sure t,be true,and� All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permk does not give ant 10ritY to violate the provisions of any other state or local law regulation oonstruaiw or the performance of construction.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLO A EMPIRE PLUMBING, INC Office Phone 904-465-2538 Fax 904-725-2257
Co. Address: 5358 HIDDE q GARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print):Elvis ukai State Certification/Registration# CFC 1427347
Notarized Signature ofLic nse Holder .rye .f of
Sworn and subscribed before me this day of 20_