HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9119/18 Permit Number:
a�
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
FrPAWD IMPROVEMENTL0111111111111111111
Address: 10310 S OCEAN DR #205 JENSEN BEACH, FL 34957
Legal Description: OCEANRISE CONDOMINIUM APT 205 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3765-138)
Property Tax ID #: 4511-515-0013-000-6 Lot No.
Site Plan Name: Block No.
Project Name: BARAZI
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WOR
REPLACEMENT OF 30 GALLON ELECTRIC WATER HEATER
ATION:
Acloitional work to be pertormed under this permit— cneck all appy:
HVAC Gas Tank 0Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑✓_Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5(�1 —F—t.� of First Floor:
Cost of Construction: $ 1,000.00 Utilities:"nSewer Septic Building Height:
OWNER/LESSEE: - T R.
Name MIRANDA BARAD Name: RICHARD BASSOFF
Address: 3051 SW 44TH CT Company: ADMIRAL PLUMBING SERVICES, LLC
City: FORT LAUDERDALE State: FL Address: 2895 JUPITER PARK DR #700
Zip Code: 33312 Fax: City: JUPITER State: FL
Phone No. 305-785-8023 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: CFC1426115
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
LE NS
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable w
Address:
STATE OF FLORIDA
Address:
COUNTY OF PALM BEACH
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Personally Known x OR Produced Identification
Address:
Type of Identification
City:
Produced
City:
� � %� yy� � �
V V/A.�l / Mit/
( gnature of Notary Public- State of Florida I
Zip: Phone:
Notary Public State of
en(�
Commission GG 133362
Expirea06/10f2021
Zip: Phone:
REVIEWS
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 Countyy 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
commencing-wgrknc.cecordins vour Notice of Commencement.
Z � ��2L2Z:���
Signat r ofOwner/ Lessee/Contr ,tor s A nt for Owner
Signature o Contractor/Lic hser -
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 19TH day of SEPTEMBER 20— by
this 19TH 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
p 1
� � %� yy� � �
V V/A.�l / Mit/
( gnature of Notary Public- State of Florida I
( naturerNiotarublic- S a e ofFlorid
Notary Public State of
en(�
Commission GG 133362
Expirea06/10f2021
rCommissio
Commission eiic SteteoMy
Jessie Warren
g� d' My Commission GG 133362
yi tF` Ex res OB/10/2021
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.
Property Identification
Site Address:
Parcel ID:
Account#:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Miranda Burazi
3051 SW 44th CT
Fort Lauderdale, FL 33312-5647
Legal Description
OCEANRISE CONDOMINIUM APT 205 AND UNDIV SHARE IN
COMMON ELEMENTS (OR 3765-138)
Current Values
Just/Market Value:
$172,000
Assessed Value:
$172,000
Exemptions:
$0
Taxable Value:
$172,000
Taxes for this parcel:
SLC Tax Collectors Office 12
Download TRIM I'or
this parcel: Download PDF 19
10310 S OCEAN DR 205
4511-515-0013-000-6
123967
45/1 [A
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Area (SF):
Land Size (acres):
Land Size (SF):
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.
Admbul Admiral Plumbing Services, LLC Invoice 174032
PLAIMBING SERVICES 2885 Jupiter Park DR #700 Invoice Date 9/18/2018
Jupiter, FL 33458 Terms COD
561-746-1180 Completed Date 9/18/2018
License:e: CFC CFC 7426115 om P
Customer PO
Billing Address Job Address
MIRANDA BARAD MIRANDA BARAZI
10310 South Ocean Drive #205 10310 South Ocean Drive
Jensen Beach, FL 34957 USA #205
Jensen Beach, FL 34957 USA
Description of Work
INSTALL 30 GALLON 3500 WATT WATER HEATER IN CLOSET.
Task# Description quantity Your Price Your Total
T61200 LOWBOY 30 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND UPGRADES 1.00 $899.00 $899.00
A13210 3/4" BALL VALVE - CXC 1.00 $75.00 $75.00
A61151 ELECTRICAL UPGRADE ON WATER HEATER - WIP ONLY- 1.00 $215.00 $215.00
NO SWITCH
A99534 WATER HEATER PERMIT 1.00 $175.00 $175.00
D70657 COURTESY DISCOUNT - PER RICH. CUSTOMER STATED SHE HAD OTHER PRICING 1.00 $-364.00 $-364.00
FOR EVERYTHING TOTALING $1,000.00
Paid On Type Memo Amount
9/18/2018 Mastercard $1,000.00
Sub -Total $1,000.00
Tax $0.00
Total Due $1,000.00
Payment $1,000.00
Balance Due $0.00
Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. All material is guaranteed to be as specified. All work is to be completed in a professional manner
according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and
will become an extra charge over and above the estimate. All agreements contingent upon delays, beyond our control. All payments are due upon
completion of installation. All payments not received upon completion are subject to 1 1/2% service charge per month, or the maximum rate permitted by
law, whichever is less. In the event of non-payment, all costs incidental to collection, including without limitation reasonable attorney's fees shall be added
to the unpaid balance. -CANCELLATION OF WORK AFTER DEPOSIT IS PAID: In the event a job is cancelled after the deposit is paid, a refund will be given
minus any permit (if applicable) and administrative fees that were paid by Admiral Plumbing,
PLEASE MAIL ALL PAYMENTS TO:
2895 JUPITER PARK DR #700
JUPITER FL 33458
(561)746-1180
I hereby agree to have Admiral Plumbing complete the work described for the proposed price regardless of the time it takes to complete
the work.
acknowledge the satisfactory completion of the above described work.
9/18/2018
I authorize Admiral Plumbing Services, LLC to charge the agreed amount to my credit card provided herein. I agree that I will pay for this
purchase in accordance with the issuing bank cardholder agreement.
1 .,
Professional Classic' Specifications
Residential Electric
Water Professional ClassiC Water Heaton
U1Jym1&W9Y Fama1 anerated box. C .I, baWxl un DBImmma1 sal fiwyy IOOEIreavbalwnM.
1 Sy Mao, Sentinel aptienal. Add Sol to Ne and of am modal number. System SmOrMI not ayallebla an alMle
abmenl modals, evageble on duel W..M medal. only. System Sentinel not available In eacem a15 kW en
208 V models.
" fele Ma1w w1B1$IXlip.io Jww, "WuWMe1 na1cxKh10NJ xtm wa1914db.
• Hml4a Ia1n5M0.11 vamXad 240.ix1 AC, amya 0. W 4500 wfxu VW br.a neaay
el ts.
• D heating alemmM of deferent wattages than Now, shown am demanded by sane requirement., any must be
Specifically mqueeMd
• SbWb Vam111nOWis Walatlt a1 sll a fs0 rra+.l. 5ubsblNa'1'la 2'n r Jrumbe.
•So" WFry Opaow-A Mutt 1wrna ols mmV Wamae avaibbb. C mi IwM W Wca aW waoully.
• a nacos ceump n11wn nuw vaps.
Remwt'ry = faltagv2.42 x 1e11p, r15o'F.
Exa.,s: 450M .21 GPII
2.42 x SO'
Raeurory ca"11 ya umd 0e bawO.14500 wen elamanS ueee inlWn s'riNXanwNs olxxalrx1.
ROD
;i o
WATER CONNECTIONS ALL 3114° N.P.T.
In keeping with its policy of mnfinuous pmgnss and PWXI improvement Rheem reserves the aDhf to make changes without notice.
Rheam Water Heating a 1115 Northmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRWTED W U.9A.OWM"FORM IDI. FROE RH N Rev. a
DESCRIPTION
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U1Jym1&W9Y Fama1 anerated box. C .I, baWxl un DBImmma1 sal fiwyy IOOEIreavbalwnM.
1 Sy Mao, Sentinel aptienal. Add Sol to Ne and of am modal number. System SmOrMI not ayallebla an alMle
abmenl modals, evageble on duel W..M medal. only. System Sentinel not available In eacem a15 kW en
208 V models.
" fele Ma1w w1B1$IXlip.io Jww, "WuWMe1 na1cxKh10NJ xtm wa1914db.
• Hml4a Ia1n5M0.11 vamXad 240.ix1 AC, amya 0. W 4500 wfxu VW br.a neaay
el ts.
• D heating alemmM of deferent wattages than Now, shown am demanded by sane requirement., any must be
Specifically mqueeMd
• SbWb Vam111nOWis Walatlt a1 sll a fs0 rra+.l. 5ubsblNa'1'la 2'n r Jrumbe.
•So" WFry Opaow-A Mutt 1wrna ols mmV Wamae avaibbb. C mi IwM W Wca aW waoully.
• a nacos ceump n11wn nuw vaps.
Remwt'ry = faltagv2.42 x 1e11p, r15o'F.
Exa.,s: 450M .21 GPII
2.42 x SO'
Raeurory ca"11 ya umd 0e bawO.14500 wen elamanS ueee inlWn s'riNXanwNs olxxalrx1.
ROD
;i o
WATER CONNECTIONS ALL 3114° N.P.T.
In keeping with its policy of mnfinuous pmgnss and PWXI improvement Rheem reserves the aDhf to make changes without notice.
Rheam Water Heating a 1115 Northmeadow Parkway. Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRWTED W U.9A.OWM"FORM IDI. FROE RH N Rev. a