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900 PLAZA #25 PLUMBING CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 __ 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-515 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 25 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: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINGCODES. Mar 09 2015 08.50AM Empire 9047252257 page 12 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904) 247-5845 JOB ADDRESS:900 DR,ATLANTIC BEACH FL 32233 UNIT Z.S PERMIT# NEW ORREPLACEMENIIF INSTALLATION: Project Value$ TYPE OFFIXTURt QTY TYPE oFFMuRE QTY Bathtub Septic Took&Ph ClothesWasher Shower Dishwasher Sbower 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 Fixtures2_ Water Treating System i RE-PIPE: TYPE OF FIXTUJ?k QTY TYPEoFFATURE QTY Bathtub Septic Tank&Pit Clothes Washer j Sbower 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 Fuentes 1_ Water Treating System MISCELLANEOUS: I ❑ Sewer Replacement ElJack Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-cumber of Heads c Well .a SJRWBF Well Completiat Form. Completed be submitted to the Building Department for final inspection. ❑ Other REPLACE TWO SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER LINE i Parch becomes void if work does acorernenes within a six moth period or work is suspended or abandoned for six months.I hereby certify that I have rem this application and rmow the same l e hue and con'eet. All provisions of laws and ordinances governing this work win be complied whh whether spwificd or not. nK pamit don am give autpority m violate the provisions of any other state er local Imv regulstim conshoscdun or the performance of construction. Property Owners Name SEj OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA 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):Elvis Lukaj State Certification/Registration# CFC 1427347 NotarizedSignanrreofLicense Holder Sworn and subscribed before me this day of 20_