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_