HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/12/19
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 II
PROPOSED IMPROVE, NT LOCATION:
Address:Ui23 glverlanJ Df,Fc, +g2
Legal Description: TOMLINSON'S UNRECORDED PLAT OF PART OF LOTS 215 AND 216 IN SEC 9-3640 BEG NE CDR LOT 14, TH RUNS 89 DEG 47 MIN W 96.1 FT,
Property Tax ID #: 3409-705-0015-000-6
Site Plan Name:
Project Name: WATER HEATER REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
SUPPLIED AND INSTALLED NORITZ-EZT40 TANKLESS HEATER - PROPANE
11HVAC LJ Gas Tank
11 Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2445.00
unaerinlspermit— cnecKan apply:
In
❑Gas Piping _Shutters
Sprinklers 11 Generator
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Lot No.
Block No.
Windows/Doors
i] Roof = Roof pitch
Building Height:
OWN ER/LESS_ t
CONTRACTOR:
Name ROBERT SPROOL
Name: RICHARD BASSOFF
Address:6423 RIVERLAND DR
Company: ADMIRAL PLUMBING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-260-7610
Address: 2895 JUPITER PARK DR #700
City: JUPITER State. FL
Zip Code: 33458 Fax:
Phone No. 561-746-1180
E-Mail: RAWB31100@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: PERMITTING@THEADMRIALPLUMBER.COM
State or County License: CFC1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNE
Name:
Address:
City:
Zip:
State:
Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Addn
Zip: Pho
MORTGAGE COMPANY:
_ Not Applicable
Nan
Addre�,
City: •
State:
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 ommencement must be recorded and posted on the jobsite
before the first inspection. If you intend t btain financing, consult t . h lender or an attorney before
commencio"orec ding your a mf Commencement. /) /
Ot2
Signatu of Owner/ Lessee/C j trant for Owner
Signature ofContractor/Licens4 Hold r
STATE OF FLORIDA /
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PUMBeACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 12 day of JBLY 20_ by
this 12 day of JDLY 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
a't� dlL
Produced
ak 1110_�
(Si ature of Not UtfH -
(Signat a Notary PubTi S t ri
Ho1W Public Stare W Fbriae
Ndery Pudic�Seuorbpoef F
Commission No. J6 tPFoj °r96
mi GG 233150
Comm ion No. .alw,0 2�t3 sp
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w Expk 0&2B12022
w Expires 06I26r2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
-t
John Edgar Shcnard. P.A.
34 Southeast Sth Street
Stuart, FL 34994
(772) 283.9322
File No 19-048
parcel Identification No 34-09-705-0015-0006
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE 9 4573144 0512812019 11:32:51 AM
OR BOOK 4274 PAGE 2511 - 2512 One Type: DEED
RECORDING: $18.50
Doc Tux'. $2093.00
JSpae.\bv\ n.. L—to anaUnr
WARRANTY DEED
ISTA IUTORT FORM -SECTION 689.02, F.S.i
This Indenture made the 261h day of April, 2019 between William Bourke, an unmarried man, aka W IIIIam Alan Bourke, whoa post
u01ce address is 6423 Riverlsnd Drive, Fort Pierce. FL 34982, of the County of St. Ludc. State of Florida, Grantor, to Robert Sprout and Anne
Falco Sproul, a married couple, whose post office address is 6423 Riverland Drive, Fort Pierce, FL 34982, of the County of St. Lucie. State of
Florida. Grmt,c
33ilmareth. that aid Grantor, for and in consideration of the sum of TEN DOLLARS (U.S.S 10.011) and other good and valuable
considerations to said Grantor in hand paid by said (irantees, the receipt whereuf is hereby acknowledged, has granted, bargained, and sold to the
said Grantee, and Grantee heirs and assigns forever, the following described land, situute, lying and being in St. Lucie. Florida, to•wit:
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
Subject to mac for 2019 and subsequent years, not yet due and payable: covenants. restrictions. cascmcnta. reservations and limitations of
record, if any.
TO HAVE AND TO HOLD the same in fee simple forever.
And Grantor hereby covenants with the Grantees that the Grantor is lawfully seized of said land in fee simple, that Grantor has good right
and lawful authority to sell and convey said land and that the Grantor hereby fully warrants the title to said land and will defend the same against the
lawful claims of all persons whornsacm.
In Winters Whereof. Grantor has hereunto set Granters hand and seal the day and year first above written.
Print tome'.
STATE OF FLORIDA
COUNTY OF MARTIN
presence:
,TI)A-e S
1(n-s
The f gui mswmentwar« nwledgcd Iwforc me thin 261h day of April, 2019. by William
Si - aturc o(Notary Public /
Print. Type/Stamp Name of Nutury �
personally Known: OR Produced Idcntillcalo",
Type of Identification � �
Produced:
PLUMBING SERVICES
A Service Experts Company
Billing Address
ROBBIE SPROOL
6423 Riverland Drive
Fort Pierce, FL 34982 USA
Robbie sprool
Admiral Plumbing Services
A Service Experts Company
2895 Jupiter Park DR #700
Jupiter, FL 33458
561-746-1180
License: CFC 1426115
Estimate Details
Task# Description
T77716 NAVIEN NPE-240S TANKLESS HEATER - PROPANE
Permit WATER HEATER PERMIT
Estimate 24178226
Job 24158779
Estimate Date 5/10/2019
Customer PO
Job Address
ROBBIE SPROOL
6423 Riverland Drive
Fort Pierce, FL 34982 USA
Quantity Your Price
1.00 $2,220.00
1.00 $225.00
Your Total
$2,220.00
$225.00
Sub -Total $2,445.00
Tax $0.00
Total $2,445.00
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: