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
PROPOSED IMPROVEME CATIO.
Address: 5761 SPANISH RIVER RD FORT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES -PHASE THREE
Property Tax IDN: 1312-503-0091-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
-ION OF WORK:
Right Side: Left Side:
REPLACEMENT OF 50 GALLON ELECTRIC WATER HEATER
CO
HVAC LJ Gas Tank UGas Piping
Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,600
Name WILLIE HARRIS
Address: 5761 SPANISH RIVER RD
0
Lot No. 295
Block No.
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
ScI�Ft.� of First Floor: _
Utilities: —Sewer Septic
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No. 772-940-3127
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: RICHARD BASSOFF
Company: ADMIRAL PLUMBING SERVICES, LLC
Address: 2895 JUPITER PARK DR #700
City: JUPITER State: FL
Zip Code: 33458 Fax: 561-744-7101
Phone No. 561-746-1180
E -Mail: PERMITTING@THEADMIRALPLUMBER.COM
State or County License: CFC 1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement
rSUPPLEM
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 first inspection. If you intend to obtain financing, consult er or an attorney before
commencingwork or recordingur tice of Commenceme
Owner
Sigpbffe of Owner/ Lessee/ContZOL�7"7
Signature of Contractor/Lice old
STATE OF FLO DA �
STATE OF FL IDA
COUNTYOF hCOUNTY
OF l
The�forrgping instru(ttent was acknowledged before me
th/is�'Ri9dayof JLAIW 2012'by
The forgWg instrument was acknowledged before me
this2nda�y�of JLAAI 4
iii-C.�m �.�(.f S wIP—t'
n �/200�leby
' W4w'o.1' (i Sri k ]t C`
Name of perso making statement
Name of person making statement
Personally Known � OR Produced Identification
Personally Known c OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/� �r '/ ,
(Si ature of Notary Public- State of Florida)
(Sign a of Notary Public- State of Florida )
Commissi NoteryPublicStateoflil�REll)
WF�ie amen
My Commission GG 133382
�aw exP'm. aenonort
Commission oi.cstem
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- My Commission G6133392
FRONT
ZONING
SUPERVISOR
PLANS
V A I
EA TURTLE
MANGROVE
LDATE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
ED
Rev.8/2/17
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
Willie C Harris
5761 Spanish River Rd
Fon Pierce, FL 34951
Legal Description
PORTOFINO SHORES -PHASE THREE- (PB 4340) LOT 295 (OR 2836-
2377)
Current Values
Just/MarketValue:
$154,700
Assessed Value:
$89,433
Exemptions:
$89.433
Taxable Value:
$0
Taxes for this parcel:
SLC Tax Collector's Office 17
Download TRIM for
this parcel: Download PDF 17
5761 Spanish River RD
1312-503-0091-000-9
155150
13112N
0100
PUD
Saint Lucie County
Total Areas
Finished/Under Air (SF):
2,103
Gross Area (SF):
2,721
Land Size (acres):
0.24
Land Size (SF):
10,454
This information is believed to be correct at this time but it is subject to change and is not warranted.
U' Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
I
❑ Day Work Adm i/Lal
❑Night Work
❑ Weekend Work Plumbing Services, LLC
❑ Holiday Work www.theadmiralplumber.com
2895 Jupiter Park Dr. Ste. 700
Jupiter, Florida 33458
License No. CFC1426115 (772) 879-9240 (561) 746-1180 (772) 286-1888
Date ?/I&
_ �
171633
Cust# 17)90
1.5% Interest (18% per annum) Charged On Balances Over 30 Days.
$25 Return Check Charge.
NAME
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HOME PHON WORKPHONE
HOME PHONE WORKPHONE
Checklist.
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❑ Water heater
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❑Gas
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❑ Electric
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❑ Toilets - Dye Test
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❑ Faucets
1 Q
❑ DrainsO�-
❑ Offer BioClean
❑ Garbage Disposal
❑ Service Agreement
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Recommendations: L�
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❑ I hereby ag to0ave Admiral Plum ng complete the work described above for the price of regardless of the time It takes to complete the work.
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Signature X Email
❑ I hereby agree to have Admiral Plumbing snake the above described drain fors for the first hour and $ for every hour thereafter.
Signature X Email
SERVICE GUARANTEED FOR ONCE IN 30 DAYS MONDAYTHROUGH FRIDAY DURING NORMAL BUSINESS HOURS. NO GUARANTEE ON CLOGGED DRAINS.
Admiral is not liable for any claims for damages to the plumbing system on above Admiral is not liable for water damage due to clogged drains or broken pipes.
job premises, as a result of labor to any deteriorated, broken ror improperly
installed plumbing on said premises. [—r' '`.
6"Q101 -421r'-7
Service Technician: C
Signature: X
I hereby acknowledge the satisfactory completion of the above described work Arrival Time: Finished Time:
Type of Payment.
SERVICE
on
❑ Cash ❑ Bill
t
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EXTRAS
DISCOUNT/DEDUCTIBLE
TR QRh qou
❑ Credit Card
SUB -TOTAL
#
Jox goux gusiitess
SALES TAX
Auth# Exp.
TOTAL
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1.5% Interest (18% per annum) Charged On Balances Over 30 Days.
$25 Return Check Charge.
Residontial Electric
a
Water proleaetonal Claasfa Water Heaters
The new degree of comfort'
Professional Classic® electric water heaters are
engineered for longer life - resistored heating
elements and premium grade anode rod
Efficiency
•.90-.93UEF
• Isolated tank design reduces
conductive heat loss
• Resistored copper upper element and
resistored Lifeguard'" stainless steel
lower element to prolong anode rod
and tank life
Performance
• FHR: 45 - 67 gallons, based on gallon
capacity
• Recovery: 21 GPH at a 90" F rise
System Sentinel
(Available on selected models)
• Exclusive diagnostic system with
glowing LEDs that verify heating
element operation. LEDs pin point the
exact location of functioning or non-
functioning heating elements
Longer Life
• Premium grade anode rod provides
long-lasting tank protection
Features
• Electric junction box located above
heating elements for easy installation
• Over -temperature protector cuts
off power in excess temperature
situations
• Automatic thermostat keeps water at
desired temperature
Plus...
• Rheentglae tank lining resists
corrosion and prolongs tank life
• EverKleen"' self cleaning device fights
harmful sediment build-up with a
high -velocity spiraling water stream —
helps operating efficiency by saving
energy, money and improving tank life
• Enhanced -flow brass drain valve
• Temperature and pressure relief valve
included
• HUD certified for manufactured
housing and modular construction
• Low lead compliant
Warranty,
• 6 -Year limited tank and parts
warranty'
• With ProtectionPlus" the 6 -year limited
tank warranty becomes 10 -year
'See Residential Warranty certificate for complete
information
Units meet or exceed ANSI requirements and have
been tested according to the AHRI Operations
Manuel and D.O.E. procedures. Units meet or
exceed the energy efficiency requirements of
NAECA. ASHRAE standard ee. ICC Code and all
stale energy efficiency performance criteria.
Professional Classic
19.9 to 55 -Gallon Capacities
240 Volt AC/Single Phase
Double and Single Element Models
Electric
A.'RII:r:I; Ro
See specifications chart on back.
PRINTED IN USA O V 18"FORM NO, PROE RN N Ray. 8
a
Professional Classic® Specifications
Residential Electric
,,•^^,,, Water Professional Classic Water Healers
1k14aen Emory Factor Ont rauxI fluoun cap* c11y UmNU un Oapwonan W Ewx9y (WEIroWvaoals
t Symem $ordeal optional Add ECl to Me and of the model number System sanneal not available on aln9le
elomant modal., evatiaMe on dual element models only. Smit. Sentinel not available In moon of 5 kW on
203 v models
•• wala motor uni9nPp19Pa 10 asul, eW all bw*w1'.1. nodal vm wale fl.
• Hellas NrruaMd m111 Maakad 240 vat AC.&n9b plass M'1NiWoe )sw *S lmd 4503• Null apps WW bra healxg
m r,o115.
•theading elements of different watla9H Mean Nose Mown em lemanded by son. mambomants, they =at Be
.poelflcally re4umtsm.
•Sbgb OMriK+il,notlal.1able on voccl mla 1,8000W m ). SUIM11Wa-1' 1b, ''.i modol rumba.
• Spwiol Walg Opaau -A bnlod lana d spocal wog o mom am maimet. Cawll bclmy b once ale av4Mnlly.
• Aa moOtls Nuypol,W), role baps.
Remw4y=450OW A2A GPH
EAa11p4500W le: -21GM
2.42x90'
R.oaakulym,Uwd We borax) .14500 .11 awm,44 Uwe mnuHsriwft eoluunrl.
HOT
WATER
6
CONNECTION 1YCO
RELIEF VALVE CONNE
CONNECTION AN00
ROD
DIA METER
T�
WATER CONNECTIONS ALL 3/4" N.P.T.
Inkeapegw ifs POtly Of Conf/n SprogressaldpoOd impovmrml, liheem reserves thenghr to make changes withoutratite.
Rheem Water Heating • 1115 Nortllmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRMM W U.SA OU18 WP FORM W. ME AN N Ree. A
DESCRIPTION
FEATURES
ROUGHING W DIMENSIONSISHOWN W INCHES)
ENERGY INFO.
T
1
P
E
XOMWAL
MLLOH
CAMmn'
RUED
OeION
oAPACaI'
MODEL
NUMBER
BET
PmatH
Roos
"A
RECOyEm
IN "A.
WF
Tull
HEIBHT
A
HENHTTO
WATER com ,
0
pIMIETPA
c
APPRO.
140,01.
wu
1410114
Matter
FACI01
NER
T611
W
27
PROE3072RH951
4e
21
47-1/2
50.3/8
19.1/4
92
0.92
Ten
40
W
PROE40 T2 RH95'
55
21
60-364
61.5/8
18.1/4
108
o.W
Tan
50
45
PROESO 72 RHOS'
63
21
SB -519
81-&e
W-1/4
121
0.93
Tao
55
W
PROESS 72 RR941
72
21
57
59-Y4
22-114
128
0.92
MeO.
30
27
MOE30 W RH95-
45
21
37 -IM
40-1R
20.1/4
92
0.90
F3ed.
40
38
PROM W RHOS'
W
21
4&1/4
50-1R
20.1/4
106
0.93
Mab I
Be
1 45 1
PROESO M2 RH951
62
21
48
50-12
23
132
0.93
Shen
19.9
PME20 S2 PH
21
31.1/2
31.12
I1
62
San
28
25
PROE28 as RH95
45
21
30
31-1/8
23
95
0.92
Shoo
30
27
PROEM S2 RH95 S^
21
W-1/6
32
19-Y4
95
0.92
SnM
38
33
PROE36 S2 RH95
31 -IM
33
24-1/4
118
0.92
Sal
38
35
PflOF'3B S2 RH95 It"
j4]
31-1/2
>2-YB
23
108
0.92
Sbon
47
43
PROE47 S2 R1495
32
34
261/4
149
0.93
1k14aen Emory Factor Ont rauxI fluoun cap* c11y UmNU un Oapwonan W Ewx9y (WEIroWvaoals
t Symem $ordeal optional Add ECl to Me and of the model number System sanneal not available on aln9le
elomant modal., evatiaMe on dual element models only. Smit. Sentinel not available In moon of 5 kW on
203 v models
•• wala motor uni9nPp19Pa 10 asul, eW all bw*w1'.1. nodal vm wale fl.
• Hellas NrruaMd m111 Maakad 240 vat AC.&n9b plass M'1NiWoe )sw *S lmd 4503• Null apps WW bra healxg
m r,o115.
•theading elements of different watla9H Mean Nose Mown em lemanded by son. mambomants, they =at Be
.poelflcally re4umtsm.
•Sbgb OMriK+il,notlal.1able on voccl mla 1,8000W m ). SUIM11Wa-1' 1b, ''.i modol rumba.
• Spwiol Walg Opaau -A bnlod lana d spocal wog o mom am maimet. Cawll bclmy b once ale av4Mnlly.
• Aa moOtls Nuypol,W), role baps.
Remw4y=450OW A2A GPH
EAa11p4500W le: -21GM
2.42x90'
R.oaakulym,Uwd We borax) .14500 .11 awm,44 Uwe mnuHsriwft eoluunrl.
HOT
WATER
6
CONNECTION 1YCO
RELIEF VALVE CONNE
CONNECTION AN00
ROD
DIA METER
T�
WATER CONNECTIONS ALL 3/4" N.P.T.
Inkeapegw ifs POtly Of Conf/n SprogressaldpoOd impovmrml, liheem reserves thenghr to make changes withoutratite.
Rheem Water Heating • 1115 Nortllmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRMM W U.SA OU18 WP FORM W. ME AN N Ree. A