HomeMy WebLinkAbout Building Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/2512017 Permit Num
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR To Select from dropbox click arrow at the end of line III
Address: 13054 NW Gilson Rd - Palm City, FL 34990
Legal Description: ° '° "`" ""^TM ""' "mw
Property Tax ID #: 4425-312-0020-000-1
Site Plan Name:
Project Name: Water Heater Replaceme
Setbacks Front Back:
Right Side: Left Side:
Lot No. 3-4
Block No.
DETAILEDDESCRIPTION OF WORK: III
Replace failed 65 gallon electric tank -style water heater in garage with new AO Smith 50 Electric
tank -style Water Heater.
INFORMATION:
LJHVAC L_J Gas Tank
FL ( Electric ❑✓_Plumbing
Total Sq. Ft of Construction:
Cost of Construction:$ 1400.00
Piping
!in LJ Generator
SFt. of First Floor: _
Utilities :t Sewer E] Septic
OW indows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pam 2015 Residence LLC / Pam Alexander
Name: Robert W. Ludlum
Address: 13054 NW Gilson Rd
Company: Benjamin Franklin Plumbing
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-486-5121
Address: 1631 SW South Macedo Blvd
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: Pam 2015 Residence, uw Pam Alexander
MORTGAGE
MORTGAGE COMPANY:
Ruben W. mmam
Not Applicable
Address: 13059 NW Glleon Ra -Palm clry, FL 36xN
Address: 1366r RWGibon Rd
:cense Holder
City: Peimeilr State:_
Zip: Phone
City: Ponsuoda
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1631 SW Sona, Macead BIM
Address:
City.
City:
Name of persoryrymmaking statement
Zip: Phone:
Zip: Phone:
rl5cing statement
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencpmpnt.
Rev. S/Z/17
' azure a O / essee/Contractor as Agent for Owner
&Pliture of Co tra
:cense Holder
STATE OF FLORIDA /". ".
COUNTYOF Sfl�
STATE OF FLORIDA
COUNTY OF
c3T d-GG64
q
The forgo: instrurr99gqn�twas a_c nowledged before me
this da//y��o,ff,
The forgoing instrument was acknowledged before me
20/12 by
this2rrTay of 'Lod-(/�/,
�2/QQby
�i5l9c/l�l7!/- L ?//{/ /',,
/ z%w
/
!'!/. LLZ�j{/yl
Name of persoryrymmaking statement
Name of perso
rl5cing statement
Personally Known _JL OR Produced Identification_
Personally Known �
OR Produced Identification_
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary Public -State of FI rid I
(Signature of Notary Public- State of FI a)
Commission No. Cr RIC(UNERNANDEZ
Commission No.
p f:.541�RNANDE2
My COMMISSION # GG066499
EXPIRES January 26, 2021
•i My COMMISSION # 0GO66499
EXPIRES January 26, 2021
REVIEWS
FRONT
PLANS
VEGETA ION SEATURTLE
ZONING
SUPERVISOR
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S/Z/17
•Smith® Residential Electric
Water Heaters
ENHANCED HEATING ELEMENTS CODE COMPLIANCE
• Dual 4500 watt elements for fast recovery • Meets UBC and ICC National Codes and
and reliable operation.* listed with CEC.
• Incoloy stainless steel lower element lasts • Complies with the Federal Energy
longer than a standard copper element. Conservation Standards effective
DYNACLEAN'" DIFFUSER DIPTUBE April 16, 2015, in accordance with the
Energy Polity and Conservation Act
• Helps reduce lime and sediment buildup (EPCA), as amended.
and maximizes hot water output. Made
from long-lasting PEX cross-linked
polymer.
HIGH ENERGY FACTORS
• Eco -friendly non -CFC foam insulation,
heat traps and other features combine
to yield a higher Energy Factor that
maximizes savings on operating costs.
COREGARD" ANODE ROD
• Our anode rads have a stainless steel
core that extends the life of the anode
rod allowing superior tank protection far
longer than standard anode rods.
BLUE DIAMOND" GLASS COATING
• Provides superior corrosion resistance
compared to industry standard glass
lining.
ENHANCED -FLOW BRASS DRAIN VALVE
• Our residential water heaters have a solid
brass, tamper resistant, enhanced -flow,
ball type, drain valve.
• Uses a standard female hose fitting that
allows for fast and easy draining during
maintenance.
• Designed for easy operation, this valve
includes an Integral screwdriver slot that
features a 1/4 turn (open/close) radius,
which not only permits full straight -
through water flow but also a quick and
posdive shut off.
'MotleI ENL 20 has a single el menl.
APPROVED FOR MANUFACTURED
HOUSING
• All residential electric water heaters are
compliant with HUD Standards for mobile
homes/manufactured housing.
CERTIFIED TO UL 174 FOR HOUSEHOLD
ELECTRIC WATER HEATERS
CSA CERTIFIED AND ASME RATED T&P
RELIEF VALVE
DESIGN -LISTED BY UNDERWRITERS
LABORATORIES
• Certified at 300 psi test pressure and 150
psi working pressure.
• Listed according to UL 174 standards
governing storage tank -type electric water
heaters.
6 -YEAR LIM ITED TANK AND PARTS
WARRANTY
• For complete information, consult written
warranty or go to hotwateccom.
C reoury ID16 A.O. Smith Cmpmation.All rights reserved.
wwwhetwrteomm 1800.5Sh1953To11-Free USA[ A. Q smith Corporation 1500 Tennessee Walk Islas IAshland Cry, TN 37015
PERMIT SUBMITTAL DOCUMENTS
SA® (U 0L
Page 1 or 2
AOSRES0602
Cosmim.
Residential Electric
Water Heaters
Model
Number
Gallon
Capacity
First Hour
Call.'Rat
Energy
Factor
Pemcer ®
no
90°F Per
Gallon per
Hour
Element Watla a 240V
Diametrical to Inches
p VVrux.
yy
Wehis 1(Ihs)
Standard Maximum
A B C
Tall Models
ENT -301
30
47
0.95
1 21
4500
6000
461/)
1 391/2
19
1 95
ENT -oat
40
51
0.95
21
4500
6000
101/4
53-114
20
118
ENT. 50`
50
]0
095
1 21
4500
6000
60-1/4
51-1Id
21
131
ENT -50t
50
11
095
21
4500
6000
60 12
51-114
22
134
ENT -55t
55
26
1 094
21
4500
6000
56-I/2
48-112
24
1 145
Short Models
ENS9d0`
30
48
1 095
21
4500
6000
39
30.112
20
95
ENS -301
30
49
0 95
21I
4500
1 6000
393/4
1 30-111 1
22
94
ENS -401
1 40
55
1 095
21
4500
60000
1 40-314 1
20-112
109
ENS -50t
50
62
0.93
21
4500
6000
49 'J4
40418
23
161
Low my
onnell Models
195
WA
N/A
21
4500
6000
30
1142065
28
40
0.g521
4500
6000
30
21 314
22
96
28
43
095
21
4500
6000
31-114
21-310
24
1'5
38
46
095
21
4500
6000
31-3/4
24
24
118
38
44
095
21
4500
fi0E0
33-1/2
20
26
118
48
5)
0 95
211
4500
1 600
1 34
1 25 1
26-112
1 112
Male 3r4"water mnnealions on B" <
`Mode¢ shut earth closed lsince an blani0.
his, 10 ,, lank and Fryear parts wasranry,change"E"to" Pis the model num be, dramole. ENHO becomes PNh301
Top NIP option not auaila0le on U, madrs
EN20is a single element mnllgluatlon only
NortherTO location IS is used on the Ent ENiB50. Ell ENS 40 and ENS50
Top TLP is not scalable on the 10 Seat model Prri 50.
pm¢ns,ont and spetilicetionz Sublen to change without note¢ in accordance with our pohry of mndnuous pmdun Improvement.
T&P VALVE
ACCESS
PANEL
ACCESS
PAN EL
DRAIN
VALVE
C
ANODE (OR OPTIONAL
T&P LOCATION #1)
OPTIONAL T&P
LOCATION #2
JUNCTION
-BOX
T&P VALVE
For technical information call 800527-1953. A. 0. Smith Corporation reserves the right to make product changes or improvements without prior notice.
PERMIT SUBMITTAL DOCUMENTS