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.
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Michelle Franklin, CFA-- Saint Lucie County Property Appraiser —All rights reserved.
Site Address:
Parcel to:
Account as
Mop ID:
Use Type:
Zoning:
City/county:
Ownership
Camille Johnson
I82 U. 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.