900 PLAZA #27 PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-�� 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-516
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 27
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: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 08:50AM Empre 90472522x7 page 13
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS:900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT PERMIT#
NEW OR REPLACEM INSTALLATION: Project Value$
TYPE oFFmnT QTY TYPEOFFLYmRE QTY
Bathtub I Septic Tank&Pit
Clothes her Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain i Three Compartment Sink
Floor Sink Toilet _
Hose Bibs ! Urinal
Kitchen Sink '. Vacuum Breakers
Laundry Trey Water Connected Appliances
Lavatory ! Water Heater
Other Fortunes 2_ Water Treating System
RE-PIPE:
i
TYPE OF FD" QTY TYPE O£FIXTORE QTY
Bathtub Clothes Washer Septi°erenk& Pit
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain ! Three Comparbnent Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fumnses t_ Water Treating System
MISCELLANEOUS: .
❑ Sewer Replacement ❑ Deck Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 seta of plans
❑ Lawn Sprinkler System- umber of Heads ❑ Well **
**SJRWD Well Completia 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 n commence within a six month period or work is suspended ar ebandoned for six months.I hereby certify that I have rex
this application and know the scone be true and sonnet All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give authority to violate the provisions of my other state or local law regulation constmaim or the performance of construction.
Property Owners Name SEBA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLOC A EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 904-725-2257
Co.Address: 5358 HH)DE}`I GARDENS DR City JACKSONVILLE State Zip 32259
License Holder(Print):E�yis Lukaii State Certification/Registration# CFC 1427347
NotariudSignatureofLicenseHo!der re�if '0:2%zmr'00
Sworn and subscribed before me this day of 20_