HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 2704 LANGSTON DR
Property Tax ID #: 1432-806-0066-0004
Site Plan Name:
Project Name: WATER LINE
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential x
RE-ROUTE HOT WATER LINE TO ELIMINATE LEAKING LINE IN SLAB
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,675.00
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARGURITE KNIGHTEN
Name: RICHARD BASSOFF
Address:2704 LANGSTON DR
Company: ADMIRAL PLUMBING SERVICES, LLC
City: FORT PIERCE FL State: _
Zip Code: 34946 Fax:
Phone No.772-464-3917
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
If value of construction is $2500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
,ATITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." i
of Owner/ Lessee/Contracto as Agen er
Signature of ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF MM BEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _,day of. 20_ by
this _ day of 20_ by
RICHARD BASSOFF
RICHARD BASSOFF
Name of person making statement.
Name of person making statement.
st
Personally Known " OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
b- 6 . It, t"',L
n
I - ��4
(Signature of Nota
Public -State of Florida I
(Signature of Notary P lic-St t of Florida
Commission No.
;NICOLE A'Al5S4rLLIVAN
A' NICOLE M SULLIVAN
Commi
MMISSIO#GG043725
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' EXPIRES October 30.2020
,a; a EXPIRES October 30, 2020
REVIEWS
SUPERVISOR
PLANS
MANGROVE
FRONT
ZONING
VEGETATION
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
LaL/ lJ..%J 1:.. Admiral Plumbing Services, LLC Estimate 24231480
PLUMBING SERVICES 2895 Jupiter Park DR #700 Job24214651
A Service Experts Company Jupiter, FL 33458 Estimate Date 5/16/2019
561-746-1180 Completed Date
License: CFC 1426115
Customer PO
Billing Address
TERRY PHILLIPS
740 West Kalmia Drive
Lake Park, FL 33403 USA
Estimate Details
Job Address
MARGURITE KNIGHTEN
2704 Langston Drive
Fort Pierce, FL 34946 USA
SLAB LEAK:
1. LEAK INVESTIGATION IS REQUIRED $450. APPEARS TO BE LEAKING IN AREA OF MASTER BATH TO GUEST BATH.
2. ESTIMATE TO RUN NEW HOT WATER LOOP USING UPONOR PEX PIPING TO ELIMINATE LEAKING LINE IN SLAB $2,000.
3. ADMIRAL PLUMBING IS NOT RESPONSIBLE FOR THE REPAIR OR REPLACEMENT OF ANY DRYWALL, FLOORING, OR ANY
OTHER ACCESS AREA NECESSARY TO COMPLETE THE LOOP.
4. PERMIT IS REQUIRED. CUSTOMER IS RESPONSIBLE FOR ANY ADDITIONAL REQUIREMENTS BY THE BUILDING
DEPARTMENT.
TOTAL $2,675.
50% DEPOSIT IS REQUIRED WITH THE SIGNED ESTIMATE AND THE BALANCE IS DUE UPON COMPLETION.
Task At Description Quantity Your Price Your Total
T71627 LEAK INVESTIGATION 1.00 $450.00 $450.00
T71620 RUN NEW LOOP OVERHEAD 1.00 $2,000.00 $2,000.00
ADMIRAL PLUMBING IS NOT RESPONSIBLE FOR THE REPAIR OR REPLACEMENT OF
ANY TILE, DRYWALL, OR ANY OTHER ACCESS AREA NECESSARY TO COMPLETE
THIS REPAIR
General GENERAL PERMIT 1.00 $225.00 $225.00
Permit
Sub -Total $2,675.00
Tax $0.00
Total $2,675.00
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 12%service charge per month, or the maximum rate permitted by
law, whichever is less. In the event of non-payment, all casts incidental to collection, including without limitation reasonable attorney's fees shall beadded
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: t jL may(//