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
PROPO PROVEMECATION:
Address: 10410 S OCEAN DR #905 JENSEN BEACH, FL 34957
Legal Description: HUTCHINSON ISLAND CLUB -APT 905
Property Tax ID #: 4511-514-0068-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: __ Right Side: Left Side:
RIPTION OF WORK:
FT�
REPLACEMENT OF 40 GALLON LOWBOY ELECTRIC WATER HEATER
Additional work to be eorme —undert ispermit—checka appy:
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 21Plumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,309 Utilities: Sewer ❑Septic Building Height:
OWNE'CTOR: ill
Name RONALD MAMROSH Name: RICHARD BASSOFF
Address: 20 WILLIAMS WAY Company: ADMIRAL PLUMBING SERVICES, LLC
City: TERRYVILLE State:CT Address: 2895 JUPITER PARK DR #700
Zip Code: 06786 Fax: City: JUPITER State: FL
Phone No.860-712-8872 Zip Code: 33458 Fax: 561-744-7101
E -Mail: Phone No. 561-746-1180
Fill in fee simple Title Holder on next page ( if different E -Mail: PERMITTING@THEADMIRALPLUMBER.COM
from the Owner listed above) State or County License: CFC 1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Less e/C tr ctor as Agent for Owner
Signature of Contractor/Licen Hol
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPALM BEACH
COUNTY OFPALM BEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 20TH day of JULY 20_ by
this 20TH day of JULY , 20_ by
RICHARD BASSOFF
RICHARD BASSOFF
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1
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od h
Iy.,L/J L/1 I/�IAVIAA_'
(S66ature of No a P b ic- t t of I ri a
(Sign ure of Notary Public- State of Florida I
Commis5 niff`. Notary Public Step of I
Fes)
Notary Public StatagaTf*'a
Commission No. warren 1�� �a �l 11
y a My Commission (iCs 133982
iia BJP Explref 08/10/2(
My Commission OG 133382
01 ' Expim D8/1012021
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved.
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Ronald Mamrosh
20 Williams Way
Terryville, CT 06786
Legal Description
HUTCHINSON ISLAND CLUB -APT 905 (OR 3350-1578)
Current Values
Just/Market Value:
$268,700
Assessed Value:
$268,700
Exemptions:
s0
Taxable Value:
$268,700
Taxes for this parcel:
SLC Tax Collectors Ottice 12
Download TRIM for
this parcel: Download PDF
Property Identification
10410 S OCEAN DR 905
4511-514-0068-000-3
123930
45/11 A
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,452
Gross Area (SF): 1,548
Land Size (acres): 0.02
Land Size (SF): 1,000
This information is believed to be correct at this time but it is subject to change and is not warranted.
CO Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
. a -
Billing Address
RONALD MAMROSH
10410 South Ocean Drive 4905
Jensen Beach, FL 34957 USA
Installed 40 gal low, with 4500 w elements.
Admiral Plumbing Services, LLC
2895 Jupiter Park DR #700
Jupiter, FL 33458
561-746-1180
License: CFC 1426115
Description of Work
Invoice 175432
Invoice Date 7/20/2018
Terms COD
Completed Date 7/20/2018
Customer PO
Job Address
RONALD MAMROSH
10410 South Ocean Drive
#905
Jensen Beach, FL 34957 USA
Task #
Description
Quantity Your Price
Your Total
T61190
LOWBOY 40 GALLON ELECTRIC WATER HEATER- PLUS PERMIT AND UPGRADES
1.00 $899.00
$899.00
A61151
ELECTRICAL UPGRADE ON WATER HEATER - WIP ONLY-
1.00 $215.00
$215.00
NO SWITCH
A99536
PERMIT -PLUMBING
1.00 $195.00
$195.00
Paid On Type Memo Amount
7/20/2018 Check 5497 $1,309.00
Sub -Total $1,309.00
Tax $0.00
Total Due $1,309.00
Payment $1,309.00
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 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 ajob 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
(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.
1
7/20/2018
1 hereby acknowledge the satisfactory completion of the above described work.
7/20/2018
Residential Electric
Water Professional Claulc Water Hasten
1
The new degree of comfort'
._— rurua�,Siwa.•ssvr�.smf�aA4'q�`s'"`5S67�k°,rn�_...
Professional Classic® electric water heaters are
engineered for longer life - resistored heating
elements and premium grade anode rod
Efficiency
•.90-.93 UEF
• Isolated lank design reduces
conductive heat loss
• Resistored copper upper element and
resistored Ufeguard'- stainless steel
lower element to prolong anode rod
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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 verity healing
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
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Plus...
• Rheemglae tank lining resists
corrosion and prolongs tank life
• EverKleen" self cleaning device lights
harmful sediment build-up with a
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• 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 co iplete
information
Units meet or exceed ANSI requirennehis and have
bean tested according to the AHRI Operations
Manuel and O.O.E. procedures. Units meet or
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NAECA. ASHRAE standard W. ICC Code and all
slate energy efrcterrcy pedonnance cnteria.
Professional Classic
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Double and Single Element Models
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See specifications chart on back.
PkINtEO W 11.5A. OWB W LORM HO. VROE NH N Xay.B
Professional Classic' Specifications
Residential Electric
,`•^^,,, Water Professional 0855k Water Heaters
Mina' E ew Faclor Dist.1od':flat D1pa:lly nasal u^ D"torm, of EnvrW IDOE)raWkerl,enN.
' System Santlnal optonal Add ECt b tlro shed of Ura nmdet''slam. System BmWrol net avallMla on etnpM
element modals, avaBeSls on dual alamem models only. System SMOnal not avallable In assess of S kW en
208 V models.
Wal. Post. Dna. Pp 1. .1811 RERPIM V, uW,ket llaltlhide vnm iiater l Wlm.
• Harass IunusNed all, standard 240 Din AC, e,gle PR. nm Wivisloous vkng. and 45001w11 Ripa led lora R.I.,
•N heating, e1smanb.141Horent Wattages tun Mow Mown en demanded by Sone mqW Mnta, they mustu
apKafkalk roguemd.
• S4gly aIXM,I Is,pdrta aalMk on spaces a.4y (OOW'N Tran.). Sumluo-I-for 2- n model R RPI
• Spaial WI Op4ao-A lamed urea of spaced sang openu Wa msaaa. Co m ll Mclay M )vat asst IENMDIAty
• Al modes equipped "IT heat Irapa.
R„coruy c wallagW2,n2 n I GPInso'E.
E+anpW: 450014 = 21 GPH
2A2 n90n 90'
RecaWryfLklAllayp used We amWd x14500 Wan alanaes us: 4 e'Wmanaywaaa Manson,
HOT
WATER
CONNECTION
ROD
WATER CONNECTIONS ALL 3/4' N.P.T.
In keepag with its POACY dl CONam.Dus progress ale p7oduct improvement. Rhee'ressrves the Tight to make Changes without notice,
Rhee' Water Heating • 1115 Northmeadow, Parkway. Suite 100
Roswell. Georgia 30076 • www.rheem.com
PRINTED IN ITS A. 0Y18 WE FORM NO. PRIDE flN N R— 8
DESCRIPTION
FEATURES
ROUGHING W DIMENSIONS (MOWN IN INCHES)
ENEROVINFO.
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FACTOR
NER
Tell
30
27
PAOE30 T2 RHO-
46
21
47-1/2
50.3108
19.1/4
92
0.92
Teo
do
36
PROE40 T2 RF1951
55
21
80.361
63.518
19-1/4
to
0.83
Teo
50
45
PROEM T2 RH95'
83
2/
58.5/9
61-5I11
W-1/4
121
0.93
Tag
55
55
MOE65 T2 RH941
72
21
57
59-314
22-1/4
128
0.92
Mod.
W
27
PROE30 M2 RH95'
45
21
37-12
40-1R
20.1/4
W
0.90
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40
M
PROE40 M2 IS -195-
55
21
48-1/4
50-1/2
26t/4
105
0.93
Ided.
W
45
PROESO M2 11111151
62
21
48
1 50-1/2
23 1
132
093
Stuart
19.9
PROE20 S2 RH
21
31.12
1 31 -IM
1 1 Tf
62
Shoe
28
25
PROE2852 RH95
45
21
30
1 31-1/8
1 23
85
0.92
Sawn
30
27
PROE30S2RHMS^
46
21
30-1/8
32
1"4
95
0.92
EZ
M
33
PROE36 S2 111
48
21
31-1/2
33
1 24-1/4 1
119
0.92
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M
35
PROEM 52 R-195 8-
51
21
31-1/2
32-541
1 23
108
0.92
f Wn
47
4a
PROE4752110895
S4
21
32
34
1 261/4
149
0.93
Mina' E ew Faclor Dist.1od':flat D1pa:lly nasal u^ D"torm, of EnvrW IDOE)raWkerl,enN.
' System Santlnal optonal Add ECt b tlro shed of Ura nmdet''slam. System BmWrol net avallMla on etnpM
element modals, avaBeSls on dual alamem models only. System SMOnal not avallable In assess of S kW en
208 V models.
Wal. Post. Dna. Pp 1. .1811 RERPIM V, uW,ket llaltlhide vnm iiater l Wlm.
• Harass IunusNed all, standard 240 Din AC, e,gle PR. nm Wivisloous vkng. and 45001w11 Ripa led lora R.I.,
•N heating, e1smanb.141Horent Wattages tun Mow Mown en demanded by Sone mqW Mnta, they mustu
apKafkalk roguemd.
• S4gly aIXM,I Is,pdrta aalMk on spaces a.4y (OOW'N Tran.). Sumluo-I-for 2- n model R RPI
• Spaial WI Op4ao-A lamed urea of spaced sang openu Wa msaaa. Co m ll Mclay M )vat asst IENMDIAty
• Al modes equipped "IT heat Irapa.
R„coruy c wallagW2,n2 n I GPInso'E.
E+anpW: 450014 = 21 GPH
2A2 n90n 90'
RecaWryfLklAllayp used We amWd x14500 Wan alanaes us: 4 e'Wmanaywaaa Manson,
HOT
WATER
CONNECTION
ROD
WATER CONNECTIONS ALL 3/4' N.P.T.
In keepag with its POACY dl CONam.Dus progress ale p7oduct improvement. Rhee'ressrves the Tight to make Changes without notice,
Rhee' Water Heating • 1115 Northmeadow, Parkway. Suite 100
Roswell. Georgia 30076 • www.rheem.com
PRINTED IN ITS A. 0Y18 WE FORM NO. PRIDE flN N R— 8