HomeMy WebLinkAboutBuilding Permit ApplciationALL 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
PROPOSED IMPROVEb&NT LO `
Address: 1825 PARK LANE
Legal Description: PARKWAY GROVE ESTATES - UNIT - BLK 4 LOTS 7,8 AND E 10FT OF LOT 9 (0.51 AC)
Property Tax ID #: 2313-701-0013-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WOR
REPLACEMENT OF 50 GALLON HEATER WITH EXPANSION TANK, PAN AND PERMIT
CONSTRUCTION INFORMATICf ,:- -.., ,
AcIditional work toe erorme under tispermit—c ec a appy:
QHVAC E] Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑✓_ Plumbing ❑Sprinklers Generator Roof
qi �Ft. of First Floor:
Total Sq. Ft of Construction: S"
Cost of Construction: $ 1,300.00 Utilities: J Sewer Septic Building Height:
:`bWNER/LESSEE; CONTRACTOR.
Name WAYNE & CAROLYN LEONARD
Name: RICHARD BASSOFF
Address: 1825 PARK LANE
Company: ADMIRAL PLUMBING SERVICES, LLC
City: FORT PIERCE State: FL
Address: 2895 JUPITER PARK DRIVE #700
City: JUPITER State: FL
Zip Code: 34945 Fax:
Phone No. 772-9714791
Zip Code: 33458 Fax:
E-Mail:
Phone No. 561746-1180
Fill in fee simple Title Holder on next page ( if different
E-Mail: christine@theadmiralpiumber.com
State or County License: CFC 1426115
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 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_jcst_inspection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF PAwemm
The Tfgg t ng instrument was acknowledged,4efore me
this,�dayof 67,77-r 201�by
M(�d'� C SOJ
(Name of IMrson acknowledging)
of Notary
Known
Ajpe of Identification Pi
Commission No. `^ "
Revised 07/15/20
OR Produced Identification
hale of Forda
Costa
a GG 032841
Holder
STATE OF PEORIDA
COUNTY OF PAW eFACH
Thejfqrg�ng instru e t was acknowledged before me
[his -01 dayof C��%i'r 20 j 1 by
U�ld �G.iio �
(Name of person acknowledging )
Notary Public- State
C/
Pe/tonally Known
T pe of Identificat
Commission No. _i
OR Produced Identification
"o-817
ond°
gpWe State of F
$uSen18.Qn � 032841
REVIEWS
FRONT
ZONING
SUPERVISOR
DESIGNER ENGINEER: _
Name:
Not Applicable
SEA TURTLE
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
COUNTER
REVIEW
Address:
City:
Zip: Phone:
State:
_
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 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 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_jcst_inspection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF PAwemm
The Tfgg t ng instrument was acknowledged,4efore me
this,�dayof 67,77-r 201�by
M(�d'� C SOJ
(Name of IMrson acknowledging)
of Notary
Known
Ajpe of Identification Pi
Commission No. `^ "
Revised 07/15/20
OR Produced Identification
hale of Forda
Costa
a GG 032841
Holder
STATE OF PEORIDA
COUNTY OF PAW eFACH
Thejfqrg�ng instru e t was acknowledged before me
[his -01 dayof C��%i'r 20 j 1 by
U�ld �G.iio �
(Name of person acknowledging )
Notary Public- State
C/
Pe/tonally Known
T pe of Identificat
Commission No. _i
OR Produced Identification
"o-817
ond°
gpWe State of F
$uSen18.Qn � 032841
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
PLUMBING SERVWES
Invoice 154691
Invoice Date 10/272017
Terms COD
Completed Date 10272017
Customer PO
Billing Address I
Job Address
WAYNE LEONARD
WAYNE LEONARD
1825 PARK LANE
1825 PARK LANE
FORT PIERCE, FL 34945 USA
FORT PIERCE, FL 34945 USA
Description of Work
REPLACEMENT OF 50 GALLON ELECTRIC HEATER WITH EXPANSION TANK AND PERMIT
Task # Description
Quantity Your Price Your Total
T42610 STANDARD 50 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND
1.00 $1,050.00 $1,050.00
UPGRADES
A99536 PERMIT -PLUMBING
1.00 $175.00 $175.00
A13210 3/4" BALL VALVE - CXC
1.00 $75.00 $75.00
Paid On Type Memo
Amount
10/27/2017 Visa
$1,3300.00
Sub -Total $1,300.00
Tax $0.00
Total Due $1,300.00
Payment $1,300.00
Balance Due $0.00
Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. All material is guaranteed to be as specified. All work is to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifications involving extra costs w1l be executed only upon written
orders and will become an extra charge over and above the estimate. All agreements confingent 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 maxtmum 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, **DEPOSrFS FOR WORK REQUIRING PERMrr: In the event a deposit is given requiring a permit and the
work is cancelled after pernit is pulled, refund will be given Menus any perm@ and adnenistrative fees that were paid by Adniral Plumbing.
PLEASE MAIL ALL PAYMENTS TO:
2895 JUPrrER 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 hereby acknowledge the satisfactory
N
I authorize Admiral Plumbing Se
purchase in accordance with the
on of the above described work.
LLC to charge the agreed amount to my credit card provided herein. I agree that I will pay for this
I bank cardholder agreement.
Professional Classic''' Specifications
Residential Electric
N Water Professional Classic Water Heaters
DESCRIPTION
FEATURES
ROUGHING IN DIMENSIONS(SHOWN IN INCHES)
ENERGYINFO.
ON- MOO¢
ttPE CAR NUMBER
marrhoOR
MTNO
O1J4
RECWERI'
IN MRN.
EYFRM
reser
HEIGHT
A
HISMITTO
WAIEROONN.
B
D..
t
zewma.
WIPM..
Heel
WENOY
0sarsa
Tell 30 PROEWnW951
48
21
47-1a
5039
19-1/4
92
a."
TLI 40 PROE40T2RH951
57
21
80314
63-59
19-1/4
to
0.95
Tall 50 PROE50 T2 AH95T
67
21
Sews
6139
20-1/4
121
0.95
Tell 55 PROE5572 RH94I
71
21
57
59314
22-1/4
128
0.94
Med. 30 PROE30 W RH95r
44
21
37-1/2
4 lm
20.1/1
92
0.95
Med. 40 MM40W 101051
55
21
48-1/4
50-1/2
20.1/4
106
0.95
Med. 50 PROE50 M2 W951
65
21
48
50.1/2
23
132
0.95
Shod 19.9 P(10E2052 RH
21
3142
31 -IM
17
rel
Short 28 PROEfe 82 RN95
42
21
30
31-1/8
23
95
0.95
Short 30 PROE3052 RH958'-
42
21
30-1/8
32
193x4
95
0.95
Short 38 PROE36 S2 RH95
45
21
31-1/2
33
24-1/4
118
0.95
Shottl 30 1 PR0E3852 RH95 B"
55
21
31-1/2
32-s/a
23
108
0.95
Short47 1 MM47 S2 R1195 B"
55
21
32
31
26-1/4
149
0.95
Energy Factor based on D.O.E. (Department of Energy) test procedures.
t System Sentinel optional. Add EC1 to Ne end of the modal number Syatem Sentinel not available on single
element modals, available on dual element models only. System Sentinel not available in excess of 5 kW on
203 V models,
" Water heater dhnensions loner to installhg ienugton blanket (hal a Included vdth water teater
• Heaters fumcrrW with standard! 240 volt AC, seWle phase nonvmuAarvous wvirg, and 4500 watt upper aryl b hear
akmente.
HOT
• If heating elements of different wastes" than these shown ere demanded by zone requirements, they must be
WATER
specifically requested.
CONNECTION,
• Shgle elauwnt nxxlels evaleble On special Dorn (6"W max.). Substitute -1' for'2' in randet number.
•Specal Winrg Opibrrs-AIImMed number of specW winos options are eva9eble. ConsuB factory for price and a+aleblliry.
RELIEF VALVE
• Ai modals wulpped who heat trepe.
CONNECTION
Recovery = wattagfv2.42 x temp. nse °F.
Example: 45DOW =21 GFH C—
z.42 x 90^ r DIAMETER
Recovery caoUatbns used are based an 4500 watt beds read In nonentuftaneous operation. T
A O
B
WATER CONNECTIONS ALL 3/4" N.P.T.
In keeping with its policy of continuous progress and product improvement. Rheem resertrs the right to make changes without notice.
Pherson Water Heating • 101 Bell Road
Montgomery, Alabama 36117-4305 • www.rheem.com
PRINIEO IN Ua.A 08/16 We FORM NO. PROE RH N Rev. 2