HomeMy WebLinkAboutBuilding permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR -LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Con actor A nt for Owner
Signature of ontractor/License y Ider
STATE OF FLORIDA
STATE OF FLORIDA L/
COUNTY OF PALM BEACH
COUNTY OF PALM BEACH
The da instryA m eya acknowledgerjpefore me
this day of 1 ( G 20 c*
ff
The i6jRoing instrur,Ogy a k�owledgeq fore me
this day of �", / �% 20 /
/Ry
y
RICHARD BASSOFF
RICHARD BASSOFF
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Iden ' 'rntinn
Type of Ide '
Produced SULLIVAN
Produced-
'`- MY COMMISSION # GG043125
•' �-`LZIVAN
:;', •� My COMMISSION # GG0g3t25
W
U, EXPIRES October 30. 2020
..er,pQ,•• EXPIRES October
30. 2020
(Signature o ryPumig State f Flori .)
(Si itur nof %fo:L(
Commission /l(/Jy/(J�o //�(/•
Seal)
Cofnln(iNYNN.e. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. ygly
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F L O R 1 r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 8402 Mulligan CIR
Property Tax ID q: 3327-801-0043-000-5
Site Plan Name:
Project Name: WATER HEATER
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential x
40 - GALLON ELECTRIC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,291.60
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anna H Matthews
Name: RICHARD BASSOFF
Address:8402 Mulligan CIR
Company* ADMIRAL PLUMBING SERVICES, LLC
City: Port St Lucie FL State: _
Zip Code: 34986 Fax:
Phone No.561-232-8112
Address: 2895 JUPITER PARK DR STE 700
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No 561-746-1180
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERTMITTING@THEADMIRALPLUMBER.COM
State or County License CFC1426115
It value at construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
a
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 90e 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 Iimited tank 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 the AHRI operations
Manual and D.O.E. procedures. Units meet or
exceed the energy efficiency requirements of
NAECA, ASHRAE standard 90. ICC Code and all
state energy efficiency performance criteria.
Residential Electric
Water Professional Classic Water Heaters
Professional Classic
19.9 to 55-Gallon Capacities
240 Volt AC/Single Phase
Double and Single Element Models
Electric
See specifications chart on back.
PRINiEO IN USA. OLI ] WP FORM NO. PRICE RN N Rev.6
I r
t.e near eagae of can;za.
Professional Classic° Specifications
Residential Electric
Water I Professional Classic Water Heaters
DESCRIPTION
FEATURES
ROUGHING IN DIMENSIONS(SHOWN
IN INCHES)
ENERGY INFO.
T
Y
P
E
NOMBUL
NllLIX!
CAPACT'
RATED
GALLON
CAPACIIT
MODEL
NUMBER
UEF
RRSTHOUR
mma
G➢A.
EF
RRST NOUN
RATNa
GI
RECOVERY
IN BAR.
WFBISE
TANK
MIGHT
A
HEIGHTTD
WATER CONN.
a
DIALQTER
C
APPRok
sUF WE
Ali
ENERGY
FACTOR
UNIFORM
El1PROY
FACTOR
BIER
Tall
30
27
PROE30 T2 RH95'
48
48
21
47-12
50-va
19-1/4
92
0.96
0.92
Tell
40
36
P46E40 T2 RH95'
55
57
21
W-V4
63-5/8
/9-114
IN
0.95
0.93
Tall
50
45
PROESO T2 RH95'
63
67
21
58-5r8
61-5r8
20-1/4
121
0.95
0.93
Tall
55
55
PROE55 T2 RH941
67
71
21
57
59-3/4
22-1/4
128
0.94
0.92
Med.
30
27
PROE30 M2 RH95*
45
44
21
37-12
40-12
20-1/4
92
0.95
0.92
Med.
40
36
PROE40 M2 RH951
54
55
21
48-1/4
50-12
20-1/4
106
0.95
0.93
Med.
50
45
PFIOE50 M2 RH95'
62
65 1
21
1 48
1 50-12
1 23
132
0.95
0.93
Short
19.9
-
PROE20 S2 RH
-
-
21
31-112
31-12
17
62
Short
28
25
PROE28 S2 RH95
43
42
21
30
31-1/8
23
95
0.95
0.92
Shon
30
27
PROE30 S2 RH95 B"
43
42
21
30-1/8
32
19-3/4
95
0.95
0.92
Short
36
33
PROE36 S2 RH95
46
45
21
31-12
33
24-1/4
118
0.95
0.92
Shod
38
35
PROE38 S2 RH95 B-
54
55
21
31-12
32-5/8
23
108
0.95
0.93
Short
47
43
PROE49 S2 RH95 B"
54
55
21
32
34
26-1/4
149
0.95
0.93
Uniform Energy Factor, Energy Factor and rated galion capacity based on Department of Energy 10OB1 regluerrlenis.
I System Sentln•I optional. Add ECt to the and of fire model number System SimUlml not available on single
element models, availeble, on dual element madele only. System Senegal not avellabla In excess of 5 kW on
208 V modals.
Wales neater denensms Uno'to instaEng naulatian blanket Inat is included wth water heater.
• Heaters furnished with stardad 2,10 voR AC, singe ptrase non-amubzneous wiring, and 45M watt upper ad lower heating
elements.
• tl heading eemenes of different wattages than those shown are demanded by zone requirements, they must be
speClBoally requested.
• Srge element models available m specal order (6lHlOW max.(. Substitute'l' for'2" in model number.
• Specal Wiring Options - A limitetl number of special wiring options an, avalsble. Consult factory for once and avalar'l ly.
• All models equipped with heat traps.
Recovery= wettagei2.42 xt— nse°F.
PxanPle: d500W =21 GPH
2A2 x 90°
Regare r/ rakuabors Used am based on 4500 watt elements used n ron-svnultsnems operatie r.
HOT
WATER
CONNECTION
CONNECTION
WATER CONNECTIONS ALL 3/4" N.P.T.
In keeping with its policy of cominuous progress and product improvement, Rheem reserves the fight to make changes without notice.
Rheem Water Heating • 1115 Northmeadow Parkway, Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRINTED IN USA 08,17 WP FORM No. PRIDE RH N Rev. a
i Admiral Plumbing Services, LLC Estimate 24163718
�r PLUMBING SERVICES 2895 Jupiter ParkJob 24138815
Jupiter,Estimate Date 5/9/2019
A Service Experts Company 561-71-746-6-11804SS 180 Completed Date
License: CFC 1426115
Customer PO
Billing Address Job Address
ANNA MATTHEWS ANNA MATTHEWS
8402 Mulligan Circle 8402 Mulligan Circle
Port St Lucie, FL 34986 USA Port St. Lucie, FL 34986 USA
Estimate Details
Water heater
Task # Description Quantity Your Price Your Total
T42581 MEDIUM 40 GALLON ELECTRIC WATER HEATER 1.00 $925.00 $925.00
A99536 WATER HEATER PERMIT 1.00 $225.00 $225.00
A14860 WATER EXPANSION TANK (TANK ONLY) 1.00 $166.60 $166.60
Discount DISCOUNT-WEBSITE 1.00 $-25.00 $-25.00
Sub -Total $1,291,60
Tax $0.00
Total $1,291.60
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 12%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
CUSTOMER SIGNATURE:
— MN�A M\
5/9/2019