900 PLAZA #116 - PLUMBING �," y ,, ' sS\ CITY OF ATLANTIC BEACH
'w. . .,,.. I s 800 SEMINOLE ROAD
J '' - _.Z ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
\Jill'`'
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-PLBG-2474
Job Type: PLUMBING ONLY
Description: 3 fixtures unit 116
Estimated Value:
Issue Date: 10/19/2015
Expiration Date: 4/16/2016
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:
Trade Permit Base Fee $55.00
Plumbing Fixtures $21.00
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
Oct 19 2015 10:08AM HP Fax page 2
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 f/6 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE 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 Fixtures 2 Water Treating System
RE-PIPE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
CIothes 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 Fixtures 1 Water Treating System
MISCELLANEOUS:
O Sewer Replacement Li Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
E Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Departme it for final inspection.**
• Other: REPLACE 2 SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND WATER LINE
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six month 3. t hereby certify that I have read
his application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified
)r not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or tt e 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
-o. Address: 5358 HIDDEN GARDENS DR City JACKSONVILLE State Zip 32258
License hIolder(Print): Elvis Lukaj State Certi .�t T n.__ ,;.. Ix 273
Votarized Signature of License Holder .e/St�AtMiSSit�N1 FF/
, a i.P;t, . c•'•. !. if
di jiy
Sworn and subs I- ` :-. —. - - —�c: 1$ . ;y of 2d�
Signature of Notary Public '.-