HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9118/18 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
"ROPOSIMMPROVEMIE _
Address: 3804 DORAL CT PORT ST LUCIE, FL 34952
Legal Description: SAVANNA CLUB PLAT PHASE THREE BLK 42 LOT 2 (OR 1456-2824)
Property Tax ID #: 3425-705-0088-000-8 Lot No.2 — -
Site Plan Name: Block No. 42
Project Name: JOHNSON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF 30 GALLON ELECTRIC WATER HEATER
ATION:
Additional wort
o e er armedunder this permit - check a appy:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric ✓❑_ Plumbing Sprinklers ElGenerator 11 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,601.00 Utilities:Sewer 1:1Septic Building Height:
WNER/LESSE; NTRA ,
Name JOHN F JOHNSON Name: RICHARD BASSOFF
Address: 8284 SANDPINE CIR Company: ADMIRAL PLUMBING SERVICES, LLC
City: PORT ST LUCIE State: _ Address: 2895 JUPITER PARK DR #700
Zip Code: 34952 Fax: City: JUPITER State: FL
Phone No. 772-349-0137 Zip Code: 33458 Fax: 561-744-7101
E-Mail: Phone No. 561-746-1180
Fill in fee simple Title Halder on next page ( if different E-Mail: PERMITTING@THEADMIRALPLUMBER.COM
from the Owner listed above) State or County License: CFC1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
=;:,ION LIEN LAW INFORMATION:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 with lender or an attorney before
commencipm work or recordine vour Votice of Commencement. �
Rev. 8/2/17
SignatiM Owner/ Lesseeantra ora Agent for Owner
Signature of Contractor/License H6 r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
CO U NTY O F PALM BEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 18TH day of SEPTEMBER 20— by
this 18TH day of SEPTEMBER
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
(Sig ture of Notaz u
mmission No.
w
-Staff l;ifdfilaiawFlodaB
$Ban Clark Costa
It1y Commlo,f�Iyy,��pp��1 7YBOt
fires 1111312bi6 A
(Sig ture of Notar
n , Notary Pubsc state of Fbritla
mmission No. rI Susan Clppte
�a y c=WT o328a1
yr,B' Explree 1111317028
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
John F Johnson
8284 Sandpine Cir
Pon St Lucie, FL 34952
Legal Description
SAVANNA CLUB PLAT PHASE THREE HLK 42 LOT 2 (OR 1456-2824)
Current Values
Jus(/Market Value:
$83.100
Assessed Value:
$77.331
Exemptions:
so
Taxable Value:
$77.331
Taxes for this parcel:
SLC Tax Collector's Office
Download TRIM for
this parcel: Download PDF
3804 Doral CT
3425-705-0088-000-8
136317
34/255
0200
Pun
Saint Lucie County
Total Areas
Finished/UnderAir (SF): 1.357
Gross Area (SF): 2,127
Land Size (acres): 0.11
Land Size (SF): 4.958
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.
Admiral Plumbing Services, LLC Invoice 178003
PLUMBING SERVICES 2885 Jupiter Park DR #700 Invoice Date 9/16/2018
Jupiter, FL 33458 Terms COD
561-746-1180 Completed Date 9/16/2018
License:e: CFC CFC 1426115
Customer PO
Billing Address Job Address
JACKIOHNSON JACKJOHNSON
3804 Doral Court 3804 Doral Court
Port St. Lucie, FL 34952 USA Port St. Lucie, FL 34952 USA
Description of Work
REPLACEMENT OF 30 GALLON LOWBOY ELECTRIC WATER HEATER
Task# Description Quantity Your Price Your Total
A99534 WATER HEATER PERMIT 1.00 $195.00 $195.00
T42590 STANDARD 30 GALLON ELECTRIC WATER HEATER -PLUS PERMITAND UPGRADES 1.00 $875.00 $875.00
A13210 3/4" BALL VALVE - CXC 1.00 $35.00 $35.00
A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 $220.00 $220.00
A61151 ELECTRICAL UPGRADE ON WATER HEATER - WIP ONLY- 1,00 $226.00 $226.00
NO SWITCH
A61152 WATER HEATER PAN 1.00 $75.00 $75.00
T70656 DISCOUNTANGIE'S LIST 1.00 $-25.00 $-25.00
Paid On Type Memo Amount
9/16/2018 Visa $1,601.00
Sub -Total $1,601.00
Tax $0.00
Total Due $1,601.00
Payment $1,601.00
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
1 hereby agree to have Admiral Plumbing complete the work described for the proposed price regardless of the time it takes to complete
the work.
9/16/2018
1 hereby acknowledge the satisfactory completion of the above described work.
V
9/16/2018
1 authorize Admiral Plumbing Services, LLC to charge the agreed amount to my credit card provided herein. I agree that I will pay for this
7 w Water Residential Electric
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WATER CONNECTIONS ALL 314' N.P.T.
In keepdg with its poAcy of continuous prog/ass war product improvemem. RAeem rNdN os the right to male changes without notice.
Rheem Water Heating a 1115 Nodhmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rhoom.com
PRINTCO IN LLS.A, O IR WP FORM NO. MOE RH N Rol Il
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' Sraesm Sentinal ePdanal. Add ECt to Ne and of Me rindalnumber. System Ssnanal not avalleEle On strl9fe
element models, avallsWe on duel element models only. System Sentinel not mwlleWs N excess of 5 kW an
2%vorodals.
.. water tWlnr duou,xvls Pn' to axsae J mo kIev' ulokoi Val w oe ,d vxln wale lWlw.
• HNJNS fureehood wnli earxlyd 240 Mn AC, yrefe glen ROR WINIAN PoWs xvvg. &m 4500 wall UNW d'^I o. R.I.,
tl..N.
• 0 testing elements of dllarent Wattages Ulan Now mown am carrousel by zone meulnumente, In" must Bo
eperlllcaly Net ue•Md.
•
Savo 06rMJ11 RIOdPM avaMhM Q1 uuonal ores, 000oW max.). 3umNo.-1' la 2' n rnodal nulMer.
•51ociA We4g OPlna- A bumNmeer Or In" muOp6aW me svarehs. CdQ14I factory IN Pas as avasardty,
• Al nodes aquopeat olah new Oafs.
ReoT* Y= wal72.42 x terra-ru�'F.
Exala6: 4500W .21 GPI
7.42 x g0'
Aeo. yfg4; hora, used W. Wowd OR 4500.11 Mems 43 Owe ml ansn wlalMxxle ujoeI.I.
WATER CONNECTIONS ALL 314' N.P.T.
In keepdg with its poAcy of continuous prog/ass war product improvemem. RAeem rNdN os the right to male changes without notice.
Rheem Water Heating a 1115 Nodhmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rhoom.com
PRINTCO IN LLS.A, O IR WP FORM NO. MOE RH N Rol Il