HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
EL I
Address: 13304 NW MAPLEWOOD RD
Legal Description: HARBOUR RIDGE -PLAT 13-BUTTONBUSH VILLAGE UNIT 42 (OR 1677-2666)
Property Tax ID #: 4426-815-0049-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
50 -GALLON ELECTRIC WATER HEATER REPLACEMENT
IQ
Ad d trona I work toe performed un er this permit —checka appy:
HVAC OGasTank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers I] Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,600.00 Utilities:Sewer Septic Building Height:
Name ANDREW RUSSELL Name: RICHARD BASSOFF
Address: 20 RIDING RIDGE RD Company: ADMIRAL PLUMBING SERVICES
City: PROPEST State:KY Address: 2895 JUPITER PARK DR, 700
Zip Code: 40059 Fax: City: JUPITER State:FL
Phone No. 772-343-8916 Zip Code: 33458 Fax:
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.
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address; 2895 JUPITER PARK OR, 700
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 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
Owner
STATE OF FL
COUNTY OF
The f Ing inst u nt wa cknowledg efore me
this )7day of �i P,YY��P �' . 20 by
0D6rd '�fISSOf-F
Name of persoMnaking statement
Personally Known ,// OR Produced Identification
Type of Identification
Produced
Y I I olab
(Signature of Notary
STATE OF FL
COUNTY OF
ThefoI �oInginstr nt as cknowledg before me
this �-L day of 20 by
&VII-ArJ BA3'1 � F
Name of perso_ nynaking statement
Personally Known VOR Produced Identification
Type of Identification
(Signature of Notary
Rev. 8/2/17
�"' • NICOLE M SULLIVAN
NICOLE S LLIVAN
Commission No.
�P°
;' •'MY COONpGG043126
Commission No.
"�':
COMMI gNN GG043125
EXPIRES October 30.2020`•.,
' EXPIRES October 30.2020
,,, •,,
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 --AII rights reserved.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Andrew J Russell (TR)
20 Riding Ridge RD
Prospect, KY 40059
Legal Description
I IARBOUR RIDGE -PLAT 13- BUTTONBUSH VILLAGE UNIT 42 (OR
1677-2666)
Current Values
Just/Market Value:
$230,200
Assessed Value:
$230,200
Exemptions:
s0
Taxable Value:
5230,200
Taxes for this parcel:
SLC Tax Collectors Office Pit
Download TRIM for
this parcel: Download PDF 12
13304 NW MAPLEWOOD RD
4426-815-0049-000-7
129409
44/265
0100
PUD
Saint Lucie County
Total Areas
Finished/Under Air (SF):
2.183
Gross Area (SF):
4,425
Land Size (acres):
0.25
Land Size (SF):
10.722
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 Admiral Plumbing Services, LLC Estimate 22543847
PLUMBING SERV ICES 2895 Jupiter Park DR#700 Job 22470954
Jupiter, FL 33458 Estimate Date 10/30/2018
40 561-746-1180 Completed Date
License: CFomC 1426115 P
Customer PO
Billing Address Job Address
SUSAN RUSSELL SUSAN RUSSELL
13304 Northwest Maplewood Road 13304 Northwest Maplewood
Palm City, FL 34990 USA Road
Palm City, FL 34990 USA
Estimate Details
Task # Description Quantity Your Price Your Total
T42610 STANDARD 50 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND UPGRADES 1.00 $895.00 $895.00
A13210 3/4" BALL VALVE - CXC 1.00 $75.00 $75.00
A61151 EXTRAS 1.00 $215.00 $215.00
A99534 WATER HEATER PERMIT 1.00 $195.00 $195.00
A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 $220.00 $220.00
Sub -Total $1,600.00
Tax $0.00
Total $1,600.00
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
CUSTOMER SIGNATURE:
AUTHORIZED SIGNATURE: _
ADMIRAL PLUMBING SERVICES, LLC
CREDIT CARD AUTHORIZATION
CREDIT CARD NUMBER:
EXP:
SIGNATURE:
10/30/2018
CVV: