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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_