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_