900 PLAZA #115 PLUMBING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-PLBG-523
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 115
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: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Mar 09 2015 0a.93PM Empire 9047252257 page 19
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT PERMIT N
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPEOFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer I Shower
Dishwasher IShower Pan
Drinking Fountain' Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray j Water Connected Appliances
Lavatory Water Heater
Other Fmwms '.. 2_ Water Treating System
RE-PIPE: '.
TYPEOFFIXM E QTY TYPEOFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain 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 Fortunes I_ Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Pack Flow Preventer ❑ Grease Interceptor (Trap)_gallons(Requires 3 sets of plans
❑ Lawn Sprinkler System umber of Heads ❑ Well •*
**SIRWD Well Completio, Form. Comple a form to be submitted to the Building Department for final inspection.*
❑ Other REPLACE TWO $HOWER VALVE,HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit bce maes void if work does no commence within a six month period or work is suspended or abandoned for six months.I hereby certify thatl have rea
this application and know the same tPP be tme and correct. All provisions oflaws and ordinances governing this work will he complied with whether spmified
or mm The permit does not give out orhy to violate the provisions of my other us,w local law regulation construction or the performance of washuction.
Property Owners Name SFIIA 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 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258
License Holder(Print): EWs Lukai Sta�ttee-/Certification/Registration# CFC 1427347
Notarized SignafRre of se Holder o.r
Sworn and subscribed before me this day of 20_