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
PERMIT APPLICATION FOR: Plumbing
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Address: 1042 NETTLES BLVD
Legal Description: NETTLES ISLAND INC A CONDO -SECTION II PARCEL 1042 AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 2402-144:2820-1845)
Property Tax ID #: 4502-501-1229-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
REPLACEMENT OF 20 GALLON HEATER WITH PERMIT
Lot No._
Block No.
ialtlonai worK to ne errormea under this permit — checK allapply:
HVAC _ Gas Tank E]Gas Piping _ Shutters Windows/Doors
Electric ✓❑ Plumbing OSprinklers ElGenerator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,400.00
S . Ft. of First Floor:
Utilities: _ Sewer ElSeptic
Name STEPHEN KELLER & MICHAEL DELL
Address: 2852 SE EAGLE DR
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. 954-695-5675
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: RICHARD BASSOFF
Building Height:
Company: ADMIRAL PLUMBING SERVICES, LLC
Address: 2895 JUPITER PARK DR #700
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No. 561 746-1180
E -Mail: christine@theadmiralplumber.com
State or County License: CFC 1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address-
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: - - Phone: _
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
.Name:
Address:
City:
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 andcovenantsthat 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 ficsLicLspection. if you intend to obtain financing, consult with lender or an attorney before
commen n wor ordin our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF PALm BEACH
Ther ginstr t was acknowledge efore me
this ay o 201 by
(Name of person acknowledging)
STATE OF FMRIDA
COUNTY OF PALM BEACH
The focgooing instrument was acknowledgi before me
�
this)day of 20 y by
(Name of person acknowledging
ature of Notary Public- tate of Florida) (Sign ure of Notary Public-
� State of Florida )
finally Known OR Produced Identification �pe
sonally Known OR Produced I e t
of Identification P of Identification 1301
Commission No. 61(1
Revised 07/15/2014
s Notary Public State of Florida 0 Susan I8 Costa
susa )Ic Costa Commission No. �� �= GG 03MI
My CdMM skm GG 032841 �� 111132020
Expires 11/13/2020 -%-X
- - - - ,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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Billing Address
STEVE KELLER
1042 Nettles Boulevard
Jensen Beach, FL 34957 USA
Admiral Plumbing Services, LLC
2895 Jupiter Park DR #700
Jupiter, FL 33458
S61-746-1180
License: CFC 142611 S
Estimate Details
Estimate 20902071
Job 20893711
Estimate Date 5/3/2018
Completed Date
Customer PO
Job Address
STEVE KELLER
1042 Nettles Boulevard
Jensen Beach, FL 34957 USA
Task # Description Quantity Your Price Your Total
A99534 WATER HEATER PERMIT 1.00 $175.00 $175.00
T61200 LOWBOY 30 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND UPGRADES 1.00 $1,125.00 $1,125.00
Sub -Total $1,400.00
Tax $0.00
Total $1,400.00
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 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. "CANCELLATION OF WORK AFTER DEPOSIT IS PAID: In the event a job is cancelled after the deposit is paid, a refund will be given
minus any permit (if applicable) and administrative fees that were paid by Admiral Plumbing.
PLEASE MAIL ALL PAYMENTS TO:
2895 JUPITER PARK DR #700
JUPITER, FL 33458
AUTHORIZED SIGNATURE:
ADMIRAL PLUMBING SERVICES, LLC
CREDIT CARD AUTHORIZATION
CREDIT CARD NUMBER:
EXP:
SIGNATURE:
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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
Michael J Dell
Stephen C Keller
JoAnne Hendrix
2852 SE Eagle Dr
Port St Lucie, FL 34984
Legal Description
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1042 AND PRO -
RATA SHARE IN COMMON ELEMENTS (OR 2402-144: 2820-1845)
Current Values
Just/Market Value: $97,800
Assessed Value: $81,070
Exemptions: 5o
Taxable Value: $81,070
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF p
1042 NETTLES BLVD
4502-501-1229-000-9
120814
45102H
0200
HIRD
Saint Lucie County
Total Areas
Finished/Under Air (SF): 695
Gross Area (SF): 719
Land Size (acres): 0.04
Land Size (SF): 1,887
This information is believed to be correct at this time but it is subject to change and is not warranted.
J Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.