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900 PLAZA #138 rS ,s '1 CITY OF ATLANTIC BEACH Y� 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-519 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 138 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 PERbHT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'i, Mar 09 2015 08:51AM Empire 9047252257 page 15 I 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 1,3e PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value S TYPE OF FIXTOR� QTY TYPEoFFEavRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan DrinkingFountain P Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Nater Connected Appliances Lavatory Water Heater Other Fixtures 2_ Water Treating System RE-PIPE: TYPEOFFIXTVR QTY TYPE OF FLYTGRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower 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 Water Heater Otherfixtures i Water Treating System MISCELLANEOUS: l' ❑ Sewer Replacement ❑ pack Flow Preventer ❑ Grease Interceptor(Trap)_gallons(Requires 3 seta of plans ❑ Lawn Sprinkler System-IIumber of Heads ❑ Well **SIRWD Well Completion 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 no,commance within a six month period or work is suspended or abandoned for six months.l hereby certify that I have res this appheatim and know the sameto be we and correct. All provisiore of laws and ordinances governing this work will be complied with whether specified or not rhe permit does not give au ority to violate the provisims of my other state or local law regulation constroctim or the perfonnooce of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-2466474 Plumbing Company FLORIbA EMPIRE PLUMBING,INC Office Phone 904-4652538 Fax 904-725-2257 Co. Address: 5358 F1�GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print): E I Ivis Luka' State Certification/Registration# CFC 1427347 Notarized Signature ofLkc nae Holder Gu'/J �f-r°�� n✓ar Sworn and subscribed before me this day of 20_