900 PLAZA #111 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
JOB INFORMATION:
Job ID: 15-PLBG-524
Job Type: PLUMBING ONLY
Description: 3 FIXTURES UNIT 111
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 08:53AM 6npre 9047252257 page 20
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
j Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 900 PLATA DR,ATLANTIC BEACH FL 32233 UNIT PERMIT#
NEW OR REPLACEME141T INSTALLATION: Project Value
TYPE OF FLrruR� QTY TYPE OF FIXTCRE QTY
Bathtub Septic Tenk&Pit
Clothes Washer Shower
Dishwasher 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:
TYPEOFFIXTURE QTY TYPEOFFIA7URE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain I Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures I Water Treating System
MISCELLANEOUS: '
❑ Sewer Replacement ❑ flack Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans.
❑ Lawn Sprinkler System-}lumber of Heads ❑ Well **
**SIRWD Well Completiob, Form. Completed form to be submitted to the Building Department for final inspection.*'
❑ Other REPLACE TWO $ROWER VALVE,HOOK UP ONE WASHER MACHINE DRAIN LINE AND WATER
LINE
Permit becomes void if work does n It commence within a she month period or work is suspended or abandoned for six months.I hereby certify that 1 have rem
this application and know the same to be nue and correct. All provisions of laws end ordinances goveming this work will be complied with whether specified
or not The permit does not give authority to violatethe provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name SEA 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): E4Yis LUkai State Certification/Registration# CFFC/�CC 1427347
NoMrifed Signature ofLlc�nse Holder �f�/ OJ O-
Sworn and subscribed before me this day of 20_