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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_