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900 PLAZA UNIT 66 - PLUMBING .„ ,40,, ..,..„ CITY OF ATLANTIC BEACH ,r.), I. _ . is\.2 800 SEMINOLE ROAD KV J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 .il9P PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-2503 Job Type: PLUMBING ONLY Description: PLUMBING - 3 FIXTURES 4 Estimated Value: Issue Date: 10/21/2015 Expiration Date: 4/18/2016 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: 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 WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Oct 21 2015 10:13AM HP Fax page 3 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 l s _Q L eD G- 03 Ph(904)247-5826 Fax (904) 247-5845 JOB ADDRESS: 900 PLAZA DR, ATLANTIC BEACH FL 32233 UNIT PERMTT# 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 Aft.- - RE-PIPE: 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 1 Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department 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 months. 1 hereby certify that I have read this 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 or not. The permit does not give authority to violate the provisions of any 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): Elvis Lukaj State Certification/Registration# CFC 1427347 No � s Her $ 1� ✓ r ,4.0°Z' Notary Public tate of Florida Shirley L Graham Sworn and subscribed be o - m• his 20 c < My Commission FF 086990 poi n Expiree 02/14/2018 Signature of Notary P i /