900 PLAZA #78 PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEAT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-521
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 78
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 CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 08:52AM Empire 9047252257 page 17
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 PLA�A DR,ATLANTIC BEACH FL 32233 UNIT PER tirf #
NEW OR REPLACEME4 INSTALLATION: Project Value B
TYPEOFFiXTUR QTY TYPE OF FixTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain; Slop Sink
Floor Thain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures q Water Treating System
RE-PIPE:
TYPE OF Fh-rupf QTY TYPEOFFOrTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain'.. Slop Sink
Floor Drain Three Cornpartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink ! Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fbdms 1_ Water Treating System
MISCELLANEOUS: ''
❑ Sewer Replacement 11 B"Flow Preventer 7 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-
of Heads C1 Well
*'
** SJRWD Wel!Compleflorl Form. Completed form to be submitted to the Building Department for final inspection.*4
❑ Other REPLACE TWO SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if work does no commence within a six mondt period or work is suspended or abandoned for six months.d hereby certify that I have rem
thisapplication and know dsa same to be We and correct. All provisions of laws and ordinwees governing this work will be complied with whether specified
or not. The permit does not give autimity in violate the provisions ofm y other sure or local law regulation construction or the performance of conal cdon.
Property Owners Name SEIIlk OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FL04A EMPIRE PLUMBING,INC Office Phone 904.465-253k Fax 904725-2257
Co. Address: 5358 11IDDEN GARDENS City JACKSONVILLE State Zip 32258
License Holder(Print): Eivis Luka) State Certification/Registration# CFC 1427347
Notarized Signature ofLicfuse Holder GGUil iC / Or'00157
Sworn and subscribed before me this day of 20_