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900 Plaza #127 plbg permit 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 ]OBINFORMATION: Job lD: 16-PLBG-1900 Job Type: PLUMBING ONLY Description: UNIT#127 - install new washer, sink, 2 lavatories, 2 showers Estimated Value: $500.00 Issue Date: 8/22/2016 Expiration Date: 2/18/2017 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: EASTERDAY PLUMBING INC Address: 6653 PWOERS AVE APT 241 QA GREGORY ALAN EASTERDAY Phone: - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $42.00 Trade Permit Base Fee $55.00 Total Payments: $101.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH °� a2 j&rq 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 900 OLAP lb- PI_QA- 1�� JOB ADDRESS: _ PeRMiT# NEW OR REPLACEMENT INSTALLATION: Project Value$__-0 0 • 00 TYPEOFFrxTORE QTY TYPEOFFIXTORE QTY BathtubSeptic Tank&Pit Clothes Washer �___ Shower _.�� Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sunk Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry TinyWater Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OFFixTURE QTY TYPE oFFIXTuAE 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 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 permit becomes void if work does not commence within a six month period or work is suspended m abandoned for six months.I hereby certify that I have read this application and know the same to be one 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 an other state or local law regulation construction or the performance of construction. Property Owners Name SFa ©/ T (' (� I IS7"�1 1 G_PhoneNumber Plumbing Company Office Phone rv' y Fmc Co. Address: City ]/, State)E:'Zip_3� �3�5- License Holder(Print): 1 State Ce ' ficn/Re istration 4� r�6 /'79 t Notarized Signature ajLuense Holder s ore me this�day c 2 1 p :WS:CclREs: NNs9�N FF��951 Oelobw a 2019 S nature of Notary Public wrnNrmaywercuran.man