900 Plaza Dr #117 plbg permit S
CITY OF ATLANTIC BEACH
y 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: 16-PLBG-2111
Job Type: PLUMBING ONLY
Description: UNIT#117 - install tub, washer, sink, shower, toilet
Estimated Value:
Issue Date: 9/21/2016
Expiration Date: 3/20/2017
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
CFC1426179
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 $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
IX`F a 800 Seminole Rd Atlantic Beach,FL 32233
111 11` O
Ph(904)247-5826/ Fax(904)247-5845
JOB DRESS: /�G '442f3
'4 A 2i J �ll PERMIT#N.
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE oFFWvAE QTY
Bathtub - �. 1 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
RE-PIPE:
TYPEOFFIXT(iRE QTY TYPEOFF)XTURE QTY
Bathtub Septic Tank&Pit -
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink _
Floor Dram 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:
:i Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
7 Lawn Sprinkler System-Number of Heads ❑ Well **
'* SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
i Other
ermit becomes void if work does not mnmience within a six month period or work is suspended or abandoned for six months.r hereby certify that I bare read
us application and know the same m be true and correcr. All pmvisionsof laws and ordinances govemingthis work wig be complied with whether speed
tout. The pcnnit does not give authority to violate the provisions ofany other area or local law regulation construction or the performance of construction.
'roperty Owners Name SGA SIR 1 Snn A Q Ul S / 721,fJS LLC- Phone Number
lambing Company fPr5ll E2� rAJI LIM 61A)a Office Phone
'o. Address: _e1�73 S. la l C) L3�JCity _1 Q< _State fLZip S
,icense Holder(Print): LG State Certification/Registration#
otarized Signature o Licptysg Holder fY�X.✓Lr c-/
y4 , MitXNMSONIFFTA16 +"
Fin :M� ta, y Before me this �'l day ,`.IjMFl1� �� 20_Jf,Q__
*9 aaMetµ .aNrahyrx*n 1'�_Tr 'Y It�c.�t
Signature of Notary Public
«c C CIE& TDR C c. g (q6F>
14,4,1,
t £9t9-Z9Z(406) oul 'Buigtunld 6sprelse3 99£:L09t LZ deS
ATLANTIC BEACH
PERMIT RECEIPT
O,;jOy> V September 21, 2016
PERMIT DESCRIPTION: install tub,washer,sink,shower,toilet
PERMIT NUMBER: 16-PLBG-2111
ADDRESS: 900 Plaza#117
OWNER:SEA OATS ACQUISITIONS, LLC
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $35.00
Trade Permit Base Fee $55.00
Totals: $9400
60