900 PLAZA #88 PLUMBING � �j`✓:11`1'1'r1
CITY OF ATLANTIC BEACH
sl 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-522
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 88
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 Finpne 9047252257 page 18
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 M ATLANTIC BEACH FL 32233 UNIT pn MIT k
NEW OR REPLACEMENT INSTALLATION: Project Valne S
TYPE oFFIXTUl1E QTY TYPEOFFUTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher SII Shower Pan
Drinking Fountai Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Trey Water Connected Appliances
Lavatory Water Heater
Other Fixtures 2_ Water Treating System
i
RE-PIPE: I
TYPE oFFI"UIE QTY TYPEOFF7XTURE QTY
Bathtub
Clothes Washer Septic Tank&Pit
Shower
Dishwasher Shower Pan
Drinking Fountain SI Sink _
Floor Drain Three Compartment Sink
Ploor Sink Toilet
Hose Bibs Urinal
Kitchen SinkVacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures ! I_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sea of plans
❑ Lawn Sprinkler System-lumber of Heads ❑ Well
•"SJRWD Well Compledoh 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 said if work does not commence within a six month period or work is suspended or abandoned for six months.t hereby certify the I have ren
this application and know the same tin be nue and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or M. The permit does not give authority m violate the provisions of any other state or local law regulmion construction or the performance of connection.
Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474
Plumbing Company FLORIpA EMPIRE PLUMBING,INC Office Phone 904-465-2538 Fax 904-725-2257
Co. Address: 5358 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print): Elvis Luka' State Ce'rttiii/ccation/Registration# CFC 144227347
Notarized Sigrroture of LickRse Holder 224,.
Sworn and subscribed before me this day of 20_