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
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See specifications chart on back.
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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.