900 PLAZA #28 PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
I _ S ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4111M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-518
Job Type: PLUMBING ONLY
Description: 3FIXTURES UNIT 28
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 W TH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORMA
BUILDINGCODES.
Mar 09 2015 08:51AM Empire 9047252257 page 14
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PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
�- Ph(904)247-5826 Fax(904) 247-5845
Jos ADDRESS:900 PLJ ZA DR,ATLANTIC BEACH FL 32233 UNIT PERMIT#
NEW OR RFPLACEM2r INSTALLATION: Project Value S
TYPE oFFIxZ QTY TYPEOFFIXTURE QTY
Bathtub I Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fount ai4 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 2_ Water Treating System
RE-PIPE:
TYPE OFFIx[vkE QTY TYPEoFFixruRE 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 Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures 1_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement pack Flow Preventer Li Grease Interceptor(Trap) gallons(Requires 3 sets of plans
❑ Lawn Sprinkler System umber of Heads ❑ Well
**SJR WD Well CompleB I 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
I
Permit becornes void if work dace n canmana wnhN a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have rer
this application and know the some po ba We end conaK, All previsions of laws snd ordinances goveming this weak will be complied with whether specula
or not he parol[do"not give muority to violate the previsions of my other sate or local law regulation construction or the performance of construction.
Property Owners Name S1 A OATS ACQUISITIONS Phone Number 904-246-6474
Phtmbing Company FLORIDA EMPIRE PLUMBING,INC Office Phone 9114-465-2538 Fax 904-725-2257
Co.Address: 5358 HmDFF. I GARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print): Vis Luka' StateCeerrtitication/Registration#CFC 1427347
Notarized Signature ojLigense Holder_
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