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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 I 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_ O� Swore and subscribed before me this day of 20_