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HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • 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 X PERMIT APPLICATION FOR: Plumbing I[PI ROPOSED IMPRQY,EMENT LOGAXIJMW-- Address: 182 SE SILVA COURT Legal Description: RIVER PARK -UNIT 7 BILK 62 LOT 6 (MAP34/28S) (OR 3852-2379) Property Tax ID #: 3419-550-0002-000-9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACEMENT OF 40 GALLON NATURAL GAS HEATER WITH EXPANSION TANK AND PERMIT TOW IT ir Eff7] Additional work toe e Orme un ert is perm it —c ec a appy: HVAC 11 Gas Tank DGas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 1.490.00 Utilities:nSewer Septic Building Height: W N ER/LES Name CAMILLE JOHNSON Name: RICHARD BASSOFF Address: 182 SE SELVA COURT Company: ADMIRAL PLUMBING SERVICES, LLC City: PORT ST LUCIE State: FL Address: 2895 JUPITER PARK DRIVE #700 Zip Code: 34983 Fax: City: JUPITER State: FL Phone No. Zip Code: 33458 Fax: E-Mail: Phone No. 561 746-1180 Fill in fee simple Title Holder on next page (if different E-Mail: christine@theadmiralplumber.com from the Owner listed above) State or County License: CFC 1426115 If value of construction is $2500 or m re, a RECORDED Notice of Commencement is required. CTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countv 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 and 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. In consideration 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 of Owner/ STATE OF FLORIDA COUNTY OF PA MBE CH The for ing inst ment was acknowledged before me thi day of G4bbt4", 20 a by Y' o -g& {� (Name of person acknowledging ) re of Notary Public- State of Florida I Personally Known _ Type of Identification Commission No. AOR Produced Identification Revised 07/15/2014 STATE OF FLORIDA COUNTY OF PALM BEACH The forgoing instrwn�ent was acknowledged before me this day of V64 20 fa by (Name of person acknowledging ) Are of Notary Public- State of Florida ) nally Known ✓OR Produced Identification of Identification Produ Notary PuWlo Stem of Fbddo S(svai Plark Costa ommission No. My CommtssW GG 032841 Expires 11/13/2020 ark Costa GG 032841 11/13/2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS �%feie•. Invoice 154664 Invoice Date 10/18/2017 Terms NET 30 Completed Date 10/18/2017 Customer PO Billing Address Job Address HOME SERVE USA CAMILLE TUMBLIN 1232 Premier Drive #100 182 Southeast Selva Court Chattanooga, TN 37421 USA Port St. Lucie, FL 34983 USA Description of Work REPLACEMENT OF 40 GALLON NATURAL HEATER WITH PAN, EXPANSION TANK AND PERMIT Task # Description Quantity Your Price Your Total T42540 STANDARD 40 GALLON NATURAL GAS WATER, HEATER -PERMIT EXTRA PLUS 1.00 $830.00 $830.00 UPGRADES A99534 WATER HEATER PERMIT 1.00 $175.00 $175.00 A61152 WATER HEATER PAN 1.00 $115.00 $115.00 A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 $220.00 $220.00 A13210 3/4" BALL VALVE - CXC 1.00 $75.00 $75.00 T23700 GAS VALVE 1.00 $75.00 $75.00 Paid On Type Memo Amount 10/18/2017 Visa $540.00 Sub -Total $1,490.00 Tax $0.00 Total Due $1,490.00 Payment $540.00 Balance Due $950.00 Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. All material is guaranteed to be as specified. Al work Is to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving a#ra costs unit be executed only upon written orders and will become an e>dra charge over and above the estimate. All agreements contingent upon delays, beyond our control. All payments are due upon completion of installation. All payments not received upon completion are subject to 1 1/2% service charge per month, or the maximum rate permitted by law, whichever is less. In the event of non-payment, all costs incidental to collection, including without limitation reasonable attorney's fees shall be added to the unpaid balance. "DEPOSITS FOR WORK REQUIRING PERMIT: In the event a deposit is given requiring a permit and the work is cancelled after permit is pulled, refund will be given minus any permit and administrative fees that were paid by Admiral Plumbing. PLEASE MAIL ALL PAYMENTS TO: 2895 JUPITER PARK DR #700 JUPITER, FL 33458 (561)746-1180 I hereby agree to have Admiral Plumbing complete the work described for the proposed price regardless of the time it takes to complete the work. i I hereby acknowledge the satisfactory completion of the above described work. I authorize Admiral Plumbing Services, LLC to charge the agreed amount to my credit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement. N HIM DOW co, WSOd dM 9Lx.'Ys'n NI O91NItld w00'waagrMmm . 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Sdvu Cr Pon as Luaic, FL 34963 Legal Description RIVER PARK -UNIT 7-nLK 62 LOT 6 (MAP 31265) (OR 3952-2329) Current Values JusbMarket Value: Assessed Value: Exemption: Tuxable Value: Taxes forthis Wad: SLCTbx Collcnols OtnaO Downland TRIM for this pamd: nonnloud PDF 0 S923ho 532.054) $55,(011 52].000 Property Identification 182 5F SELS'A Cl 3419-55 2g01.4 43143 342x$ not R6 Saint Lw'ie County TotalAreas Finuhcc[Undcr An(5fi: 1,140 G..Arw($F1: 1.698 Lath Size (acas): 0.26 Land Siff ISF):11,43Y Thisi; rmmiis believed to be coned at this tin¢ but it is subject to change and is not wmramN. C Copyright 2017 Saint Lucie County Progeny Appnisa. All right rocrvcd.