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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/16/2019 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 PR Address: 3366 Columbrina CIR Legal Description: SAVANNA CLUB PLAT THREE BILK 11 LOT 47 ) Property Tax ID #: 3425-703-0035-000-6 Lot No. 47 Site Plan Name: Block No. Project Name: WATER HEATER Setbacks Front Back: Right Side: Left Side: 40 -GALLON ELECTRIC WATER HEATER REPLACEMENT Additional worKTO borrorme unclertruspermlt—c ec all appy: ❑HVAC Gas Tank Das Piping Shutters ❑ Windows/Doors _ Electric ❑✓_ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: Scn of First Floor: Cost of Construction: $ 1,535.00 Utilities: Sewer ❑Septic Building Height: oW' .. Fss~E cTOR: Name Elizabeth Y Emling & Joseph W Bacica Name: RICHARD BASSOFF Address: 2635 Saddlewood DR Company: ADMIRAL PLUMBING SERVICE, LLC, City: Waterford State: PA Address: 2895 JUPITER PARK DR, STE 700 Zip Code: 16441 Fax: City: JUPITERState: FL Phone No. 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: CFC1426115 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONS DESIGNER/FNGINFFR• _ Not Applicable MORTGorr rnRADArJy: _ Not Applicable Name:_ Name: f Address- Address* City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 2895 JUPFMR PARK DR, STE 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 commencing work or recordine vour Notice of Commencement. B G Signature of Owner/ Lessee/Contra to s A nt for Owner ( Signature of Contractor/License 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 JANUARY20_ by this 18TH day of JANUARY 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 i �&Gfima (Sign ture of Notary Public- State of Florida) (Signature of Notary Public- State of Flori a ) Commission No. ""'d NICOLR"ULLIVAN Commission No. '°" NICOLE �LLIVAN MY COMMISSION # GG043125 •., MY COMMISSION # GGG43125 ph ,. EXPIRES October 30, 2020 '4y�y. ; • EXPIRES October 30.2020 REVIEWS FRONT PLANS VEGETATION MANGROVE ZONING SUPERVISOR SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Residential Electric Water professional Classic Water Heaters 1 1 The new degree of comfort Professional Classic° electric water heaters are engineered for longer life - resistored heating elements and premium grade anode rod Efficiency • .92 -.93 UEF • Isolated tank design reduces conductive heat loss • Resistored copper upper element and resistored Lifeguard'" stainless steel lower element to prolong anode rod and tank life Performance • FHR: 43 - 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 verify heating 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... • EverKleen'" self cleaning device fights 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 Protection Plus " the 6 -year limited tank warranty becomes 11 'See Residential Warranty Certificate for complete information Units meet or exceed ANSI requirements and have been tested according to the AHRI Operations Manual and D.O.E. procedures. Units meet or exceed the energy efficiency requirements of NAEGA. ASHRAE standard 90, ICC Code and all state energy stridency performance cr ia. Professional Classic 19.9 to 55 -Gallon Capacities 240 Volt AC/Single Phase Double and Single Element Models Electric z See specifications chart on back. 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SNOISN3WI0 NO ONIHonou S3vniv3d NOLLM3830 suoi}eoi;loads ,,oissejo leuOiSSa;O.1d 9JO190H 1019M alsselo IBUO!SSO Od ' 1 1 d I /eleM .' aulael3 IeNuePl9eH AW61601 Admiral Plumbing Services, LLC Estimate 23108534 PLUMBING SERVICES 2895 Jupiter Park DR #700 Job 23104438 Jupiter, FL 33458 Estimate Date 1/11/2019 561-746-1180 Completed Date License: CFC 1426115 Customer PO Billing Address Job Address BETTY BAC ICA BETTY BACICA 3366 Columbrina Circle 3366 Columbrina Circle Part SL Lucie, FL 34952 USA Port St. Lucie, FL 34952 USA Estimate Details Task # Description Quantity Your Price Your Total T42600 STANDARD 40 GALLON ELECTRIC WATER HEATER - PLUS PERMIT AND UPGRADES 1.00 $875.00 $875.00 A61152 WATER HEATER PAN 1.00 $115.00 $115.00 A13210 3/4" BALL VALVE - CXC 1.00 $75.00 $75.00 A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 S120.00 $120.00 A61151 UPGRADE 1.00 $125.00 $125.00 A99536 WATER HEATER PERMIT 1.00 $225.00 $225.00 Sub -Total $1,535.00 Tax $0.00 Total $1,535.00 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. CUSTOMER SIGNATURE: AUTHORIZED SIGNATURE: ADMIRAL PLUMBING SERVICES, LLC CREDIT CARD AUTHORIZATION CREDIT CARD NUMBER: EXP: SIGNATURE: 1/11/2019 PLEASE MAIL ALL PAYMENTS TO: 2895 JUPITER PARK DR #700 JUPITER, FL 33458 (561) 746-1180 CVV: Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--AII rights reserved. Site Address: Parcel ID: Account#: Map ID: Use Type: Zoning: City/County: Ownership Elizabeth Y Ending Joseph W Bacica 2635 Saddlewood DR Waterford, PA 16441 Legal Description SAVANNA CLUB PLATTHREE BLK l l LOT 47 ) Current Values Just/Market Value: $93,400 Assessed Value: $93,400 Exemptions: $0 Taxable Value: $93,400 Taxes for this parcel: SLC Tax Collectors Office Download TRIM for this parcel: Download PDF 12 Property Identification 3366 Columbrina CIR 3425-703-0035-000-6 125905 34.25S 0200 PUD Saint Lucie County Total Areas Finished/Undcr Air (SF): 1.512 Gross Area (SF): 2,125 Land Size (acres): 0.12 Land Size (SF): 5.262 This information is believed to be correct at this time but it is subject to change and is not warranted. 0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.