HomeMy WebLinkAboutPERMIT PACKAGE - MEDNICKALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building ermit Application
Planning and Development Services
Building and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 3498
Phone: (772) 462-1553 Fax: (772) 462-1578 ommercial Residential X
PERMIT APPLI ATION FOR: Plumbing
R OSE® {VI R01/EMNT� 9I WIN
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Address: 38 ALTA LOMA
Legal Description: ST LUCIE GARDENS 26 36 40 THAT PART OF BLKS 1 AND 2 LYG ELY OF US #1 AS SHOWN IN OR 2389-720
BEING LOT 38 ALTA LOMA (0.11 AC- 4,79 SF) (OR 378 - 364)
Property Tax ID #: 34 6-500-0053-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
REPLACEMENT OF 50 GALLON HEATER WITH PERMIT
]ditional work to be nerrormecl underthis permit— cnecK all apply:
aHVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors
11 Electric ✓I Plumbing Sprinklers ! Generator E]Roof
Total Sq. Ft of Construction: _-
Cost of Construction: 1,1 0.00
SFt. of First Floor: _
Utilities:'n Sewer 0 Septic
Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name JACQUE MEDNICK
Name: RICHARD BASSOFF
Address:38 ALTA LOMA
Company: ADMIRAL PLUMBING SERVICES, LLC
City: PORT ST LUCIE State: FL
Address: 895 JUPITER PARK DR #700
City: JUPITER State: FL
Zip Code: 3495_ Fax:_
Phone No. 77 -777-3615
Zip Code: 33458 Fax:
E -Mail
Phone No. 561 746-1180
Fill in fee simple Title Holder on next page ( if different
E -Mail: chrlstine@theadmiralplumber.com
State or County License: CFC 14 6115
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv•
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
.BONDING COMPANY: Not Applicable
.Name: _
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 thN�gwor2rding
. If you intendto obtain financing, consult w'th lender or an attorney before
commenour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF PAULA BEACH
Thing Ins iment was acknowledgeXby fore me
thi f day o 20
(Name of person acknowledging)
of Notary Public- State of Florida )
Personally Known _ZfOR Produced Identification
Type of Identification Pro
Commission No. 6
Revised 07/15/2014
Notary Public Stets of "a
Suark Costa
My Commission 00 032841
Expires 11/13/2020
STATE OF MORIDA
COUNTY OF PALM BEACH
The g ing inst ent was acknowledge before me
this day of 20 by
12; A-6--li 6AIS� V
(Name of person acknowledging)
igna re of Notary Public- tate of Florida)
onally Known OR Produced Identification
pe of Identification Prod
6G� Notary PuNic State of Florida
mmission No. 4 St(ierk Costa
My Com ft" 00 032841
E*m 11/13/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Invoice 158564
Invoice Date 12/22/2017
Terms COD
Completed Date 12/22/2017
Customer PO
Billing Address
Job Address
JACQUE MEDNICK
JACQUE MEDNICK
38 Alta Loma
38 Alta Loma
Port St. Lucie, FL 34952 USA
Port St. Lucie, FL 34952 USA
Description. of Work
REPLACEMENT OF 50 GALLON HEATER WITH PERMIT
Task #
Description
Quantity Your Price Your Total
T42581
MEDIUM 50 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND
1.00 $825.00
$825.00
UPGRADES
A14860
WATER EXPANSION TANK (TANK ONLY)
1.00 $145.00
$145.00
A99534
WATER HEATER PERMIT
1.00 $175.00
$175.00
D70652
COUPONS DISCOUNT FROM WEBSITE
1.00 $-25.00
$-25.00
RHEEM 50 GALLON TALL
RHEEM 50 GALLON TALL ELECTRIC HEATER
1.00 $0.00
$0.00
ELECTRIC HEATER
RHEEM PROE50 T2 RH95 Q501716907
Paid On
Type Memo
Amount
12/22/2017
Mastercard
$1,120.00
Sub -Total
$1,120.00
Tax
$0.00
Total Due
$1,120.00
Payment
$1,120.00
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 spedfications involving extra costs will 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 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.
C � �
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.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Jacque Mcdnick
38 Alta Lonna
Port St Lucie, FL 34952
Legal Description
ST LUCIE GARDENS 26 36 40 TI IAT PART OF BLKS I AND 2 LYG ELY OF US #1 AS SIIOWN IN OR 2389-720
BEING LOT 38 ALTA LOMA (0.11 AC- 4,792 SF) (OR 3782-2364)
Current Values
Just/Market Value:
Assessed Value:
Exemptions:
Taxable Value:
Taxes for this parcel: SLC Tax Collectors Office P]
Download TRIM for this parcel: Download PDF O
Total Areas
Finished/Under Air (SF):
Gross Area (SF):
Land Size (acres):
Land Size (SF):
$88.2)0
584.490
550.000
$34.49)
1,433
2.108
0.11
4,792
38 ALTA LOMA
3426-500-0)53-000-8
180052
34/26
0100
CG
Saint Lucie County
This information is believed to be correct at this time but it is subject to change and is not warranted.
C Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.