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_