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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 0a�� ��I�.IU�i �l _ 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 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 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 desired temperature Plus... • Rheemglae tank lining resists corrosion and prolongs tank life • EverKleen" self cleaning device lights 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 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 exceed the anergy efficiency requvernenls of NAECA. ASHRAE standard W. ICC Code and all slate energy efrcterrcy pedonnance cnteria. Professional Classic 19.9 to 55 -Gallon Capacities 240 Volt AC/Single Phase Double and Single Element Models Electric 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. T IT P F xd4aau ONMOW.OX INPAeIry RAtm MLLOX nAP m Me NUM ICP FR wN "me "A REOOFEAT WaPM. we Tau Mason A NFRNTTO WATERa e OUMEIFR C APVRox SUPW.. OSIJ wa7aPY FNFnav 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 Mea. 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 SMt 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