HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PERMITAPPLICATION FOR: Plumbing
PR ED IMPROVEMENT LO
Address: 7250 RESERVE CREEK DR
Legal Description: RESERVE CREEK PARCEL 4 LOT 15 AND THAT PART OF SEC 22-36-38 ADJ ONE AS IN OR 573-296 (OR 4045-1365)
Property Tax ID #: 3322-601-0016-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF 50 GALLON HEATER WITH EXPANSION TANK, PAN AND PERMIT
CONSTRUCTION INFORMATIO ' :
Additional work to bfirformed under tispermit—check all appy:
HVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors
_
Electric 0 Plumbing 05prinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. of First Floor:
Cost of Construction: $ 1,220.00 Utilities:[]Sewer Septic Building Height:
[]Sewer
OWNER/LESSEE: CONTRACTOR .. ,
Name ELISE FARRELL
Name: RICHARD BASSOFF
Address: 7250 RESERVE CREEK DR
Company: ADMIRAL PLUMBING SERVICES, LLC
City: PORT ST LUCIE State: FL
Address: 2895 JUPITER PARK DRIVE #700
City: JUPITER State: FL
Zip Code: 34986 Fax:
Phone No.
Zip Code: 33458 Fax:
E-Mail:
Phone No. 561746-1180
Fill in fee simple Title Holder on ne page (if different
E-Mail: christine@theadmiralplumber.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.
511 T'l Nbi_# CON'IRUCTIONy�LgIIEN LAL W,.iiNFORMAsTION:
at5�v` Li_12M141':Y v l::Y,�; s i N li�)� ii�taiGl[d:Stji1
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
PLANS
.MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTER
Address:
REVIEW
City:
Zip: Phone:
State:
REVIEW
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
'BONDING COMPANY:
Name:
Address:
_Not Applicable
Address:
City:
COMPLETE
City:
Zip: Phone:
Zip: Phone:
INITIALS
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 thepermit 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 theJimtiospection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF PA eACM
The f go inst int was acknowledged before me
this /day of TO r 201by
Kif.�tti-A ZaSSU
(Name of pefson acknowledging)
STATE OF FE
COUNTY OF
The Fggr o' ins _ e t was acknowledged before me
this 27 day of�ct0�1 .20 (4 by
&k" e&%ID W
(Name of person acknowledging)
(Sig ture of Notary Public- State of Florida I (Sig lure of Notary Public- State of Florida )
P rsonally Known V OR Prod c I e Y i rsonally Known OR Produced Identification
ype of Identification P ype of Identification PWExPr"
SUaatLCla�r�k Costa otary Pub#c Siete d Florida
Commission No. MV=G8r1on GG032541 Commission No.uSa4ua*Costa
4w Expkea w13i2825 y Camm"lon o0 032541
Ii/i 020
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
PLU RING SERVICES
Invoice 153726
Invoice Date 10/27/2017
Temis COD
Completed Date 10/27/2017
Customer PO
Billing Address Job Address
ELISE FARRELL ELISE FARRELL
7250 Reserve Creek Drive 7250 Reserve Creek Drive
Port St. Lucie, FL 34986 USA Port St. Lucie, FL 34986 USA
Description of Work
REPLACEMENT OF 50 GALLON HEATER WITH EXPANSION TANK AND PERMIT
Task# Description Quantity Your Price Your Total
T42610 STANDARD 50 GALLON ELECTRIC WATER HEATER -PLUS PERMITAND 1.00 $850.00 $850.00
UPGRADES
A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 $145.00 $145.00
A13210 3/4" BALL VALVE - CXC 1.00 $75.00 $75.00
A99534 WATER HEATER PERMIT 1.00 $175.00 $175.00
D70652 COUPONS DISCOUNT FROM WEBSITE 1.00 $-25.00 $-25.00
Paid On Type Memo Amount
10/27/2017 Visa $1,220.00
Sub -Total $1,220.00
Tax $0.00
Total Due $1,220.00
Payment $1,220.00
Balance Due $0.00
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 extra costs Wil be executed only upon written
orders and Will become an extra 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 maxdmum 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 pernit 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
thereby agree to have Admiral Plumbing complete the work described for the proposed price regardless of the time it takes to complete
wor
I hereby acknowledge the sati
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 issu)ng bank cardholder agreement.
Residential Electric
' Water Professional Classic Water Heaters
___ _1n. new de9nm of comfort^
Professional Classic"' Specifications
DESCRIPTION
FEATURES
ROUGHING IN DIMENSIONS (SHOWN IN INCHES)
ENERGY INFO.
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FACTOR
Tell W PROEMUR1,195'
48
21
47-12
50-3,0
19.1/4
92
0.95
Tel 40 PROE40 T2 RHg5
57
21
60-314
635/8
19-1/4
109
0.95
Tell 50 PROE50 T2RR95'
87
21
58.5/0
61-5/8
20-1/4
121
0.85
Tell 55 MOE55 T2 RH94,
71
21
57
59-314
22-1/4
12a
0.94
Med 30 PROE30 M2 RH95,
44
21
37-1/2
40-1/2
20-1/4
92
0.95
Med. 40 PROE40 M21111951
55
21
48.1/4
50.1/2
20-1/4
106
0.95
Med 50 PROE50 M2 RH951
65
21
48
50-142
23
132
0.95
SM4 19.91 0 S2 RH
21
31-141
1 31-1/2
17
1 62
SMrt 28 PRMSWRH95
42
21
30
31-1/8
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95
0.95
Shad 30 PROM S2 RH95 B^
42
21
30-1/9
32
19-3/4
95
0.95
SMrt W PROE36 S2 RH95
45
21
31-1/2
33
24-1/4
Ila
am
Shod 38 PROM W"go a"
55
21
31-141
32-5/8
23
106
0.95
Snort 47 PROE47 W RH95 B^
55
21
32
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26-1/4
149
0.95
Energy Factor based on DO E. (Department of Energy) tool procedures.
, System Sentinel optional. Add EC1 to the and of the model number. System Sentinel not available on single
element models, available an dual element models only. System Sentinel not available in excess of 5 IN on
208 V modals.
'- Water heater di rIomims prlor to installing insulatim Blanket that 5 Mcluded mn water heater,
• Heaters tunshecl with standad 240 rOl AC, Drgle phase mn-.ne taneous wiarg, ann 45W wzn eplxtr and lower healing
ObmeMs.
•
If heating elements of different waaages than those shown am demanded by zone mgliremmds. Nay must be
specifically requested.
• Single element moe4ls weable on specty oder 16000W mex.l, &kxthNe'1- for'2' n m Adel Iwmber.
• Special WHng Optus -A mixed number of specel wiring options one covens. Consult factory for pace and mailalbllly.
• NI models equiplled with Mat taps. '
Recovery =wa t.ge/2.42 x temp.
Example: 4500W =21 GM
2.42 n 90°
Pecoveiy cakrlalxi s Isetl are basad on 4500 wal elements used h roc 9muAanaos tW.10n.
ROD
WATER CONNECTIONS ALL 3/4" N.P.T.
In keeping with its policy of continuous progress and product improvement, Rheem reserves the right to make changes without notice.
Plasm Water Heating • 101 Bell Road
Montgomery, Alabama 36117-4305 • www.meem.com