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900 PLAZA #77 PLUMBING �s CITY OF ATLANTIC BEACH j s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOBINFORMATION: Job ID: 15-PLBG-520 Job Type: PLUMBING ONLY Description: 3FIXTURES UNIT 77 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: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 09 2015 08:51AM Empire 9047252257 page 16 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JoB ADDRESS: 900 PDR,ATLANTIC BEACH FL 32233 UNIT 77/ PERMIT k NEW ORREPLACENiE INSTALLATION: Project Value$ TYPEOFFzxrz QTY TYPEOFFixTURE QTY Bathtub Septic Tank&Pit _ Clothes Washer Shower Dishwasher i Shower Pan Drinking Foun 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 2 Water Treating System RE-PIPE: TYPEOFFLyru,RE QTY TYPEOFFIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer '.. Shower Dishwasher Shower Pan Drinking Fountam Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacumn Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1_ Water Treating System MISCELLANEOUS: : ❑ Seaver Replacement ❑ sack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans 0 Lawn Sprinkler System-Number of Heads 0 Well •• **SIRwD {Fell Complerioh Form. Completed 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 t commence within a sac month period or wort is suspended or abandoned for six months.I hereby certify that 1 have re: this application and know the same m be true and comet[. All provisions of laws and ordinances governing this work will be complied with whether speciacd a not The permit does not give authority to violate the provisions of my other store or local law regulation construction or the performance of construction. Property Owners Name SI♦A OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 904-725-2257 Co. Address: 5358 HIDM GARDENS DR City JACKSONVILLE State Zip 32258 License Holder(Print): Elvis Loiter" State yCertification/Registration# CFC 1427347 Notarized Signature of Liclonse Holder Sworn and subscribed before me this day of 20_