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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9118118 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 Address: 158 NE JARDAIN RD PORT ST LUCIE, FL 34983 Legal Description: RIVER PARK -UNIT 9 -PART B-BLK 77 LOT 8 (MAP 34128N) (OR 3570-55) Property Tax ID #: 3419-565-0047-000-2 Site Plan Name: Project Name: ECHEVERRI Setbacks Front Back: Right Side: Left Side: REPLACEMENT OF 30 GALLON NATURAL GAS WATER HEATER ❑HVAC ❑ Electric ✓❑_ Plumbing Sprinklers II Shutters ❑ Generator Lot No.8 Block No. 77 ❑ Windows/Doors ❑ Roof = Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 1,150.00 Utilities:CnSewer ❑Septic Building Height: OW Name JOHN ECHEVERRI Address: 158 NE JARDAIN RD City: PORT ST LUCIE State: FL Zip Code: 34983 Fax: Phone No. 772-204-6154 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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: CFC1426115 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ON LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not ApplicableI BONDING COMPANY: _Not Applicable Name: Name: Address: I Address: City: I City:_ Zip: Phone: I Zip:_ 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 comm:erming work or recording vour Notice of Commencement. , Rev. 8/2/17 ,A ' at re of Owner/ Le see/C ntra or s Agent for Owner Signature of Contractor/Licen a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF 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 Produce / Produced gnature of Notary Public- F /(1 of Notary/�Publ Commission No. CIG 03;L `,.r� Fbndesion &N G Public State of Morida w�: F C ark Costa rtsure No. 6k03 SusaplaklcCosta A 3 My 0mminion GG 032841 No, 9 My CanmlSslan GG 032841 Enplrast 11N312020 ejF Expires 11/13/2020 p 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 k: Map ID: Use Type: Zoning: City/County: Ownership John Echeverri Beatriz L Villa 158 NL Jwd.uu KU Port St Luac. I I�a`i. ; Legal Description RIVER PARK -UNIT 9 -PART B-BLK77 LOT 8 (MAP 34/28N) (OR 3570-55) Current Values Just/Market Value: $163,300 Assessed Value: $127.698 Exemptions: $50.000 Taxable Value: $77,698 Taxes for this parcel: SLC Tax C'ollector's OtYce 19 Download TRIM for this parcel: Download PDF 12 158 NC JARDAIN RD 3419-565-0047-000-2 43409 34/28N 0100 RS -4 Saint Lucie County Total Areas Finished/Under Air (SF): 1,947 Gross Area (SF): 2.750 Land Size (acres): 0.19 Land Size (SF): 8.250 This information is believed to be correct at this time but it is subject to change and is not warranted. �c, Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. Billing Address JOHN ECHEVERRI 158 Northeast Jardain Road Port St. Lucie, FL 34983 USA Admiral Plumbing Services, LLC 2895 Jupiter Park DR#700 Jupiter, FL 33458 561-746-1180 License: CFC 1426115 Estimate Details Estimate 22195284 Job 22150610 Estimate Date 9/14/2018 Completed Date Customer PO Job Address JOHN ECHEVERRI 158 Northeast Jardain Road Port St. Lucie, FL 34983 USA Task# Description Quantity Your Price Your Total T42530 STANDARD 30 GALLON NATURAL GAS WATER HEATER PLUS PERMIT AND 1.00 $1,150.00 $1,150.00 UPGRADES Sub -Total $1,150.00 Tax $0.00 Total $1,150.00 Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. Alfmaterial 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 clue 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. CUSTOMER SIGNATURE: AUTHORIZED SIGNATURE: ADMIRAL PLUMBING SERVICES, LLC CREDIT CARD AUTHORIZATION CREDIT CARD NUMBER: EXP: SIGNATURE: 9/14/2018 PLEASE MAIL ALL PAYMENTS TO: 2895 JUPITER PARK DR #700 JUPITER, FL 33458 (561)746-1180 CVV: 11 The new degree of comfort' Professional Classic°Atmospheric gas water heaters are engineered for more hot water at a low operating cost Efficiency •.58-.66 UEF • More hot water at a low operating cost Performance • FHR: 51 - 87 gallons • Recovery: 30.3 to 40.4 GPH at a 90e F rise, depending on model Guardian System-& Sensor • Exclusive air/fuel shut-off device • Maintenance free - no filter to clean • Protective control system that disables the heater in the presence of flammable vapor accumulation Maintenance Flee Low Emissions • Eco -friendly burner, low NOx design • Meets 40 ng/J NOx requirements Longer Life • Premium grade anode rod provides long-lasting tank protection Altitude Certification • All models certified up to 5,999 feet above sea level, some certified up to 10,000 feet. Consult factory for specifications Plus... • Easy to light - no matches required • EverKleen patented system fights sediment build-up • Exclusive Rheemglase tank lining resists corrosion and prolongs tank life • Enhanced flow brass drain valve • Temperature and pressure relief valve included • Factory installed temperature and pressure relief valve on select models • Low lead compliant • Standard replacement parts Warranty • 6 -Year limited lank 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 D.O.E. procedures. Units meet or exceed the energy efficiency requirements of NAECA ASHRAE standard 90, ICC Code and all slate energy efficiency performance criteria. Residential Gas Water Professional Classic ...,.. Atmospheric Water Heaters Professional Classic Atmospheric 29, 30, 40 and 50 -Gallon Capacities Up to 40,000 BTU/h Natural and LP Gas � LEEO Point = f See specifications chart on back. 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