HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
117
COUNTY
i 1
0 R 1 n A
—40
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: 9839 Perfect Drive
Property Tax I D #: 3327-703-0128-000-4
Site Plan Name:
Project Name: WATER HEATER
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential X
50- GALLON ELECTRIC WATER HEATER REPLACEMENT
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: $ 1,050.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kent A Cayce Carol A Cayce
Name: RICHARD BASSOFF
Address: 9200 Bentridge Ave
Company: ADMIRAL PLUMBING SERVICES, LLC
City: Potomac MD State: _
Zip Code: 20854 Fax:
Phone No. 301-910-9949
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 s2500 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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
Zip: Phone: I Zip:
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 YOUI ,LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-"
Signature o vner/ Lessee/ ontr tar a Agent for Owner
Signature of Contractor/Lic s olde
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PALM BEACH
The r oing instr mel was acknowledg efore me
this day of l'� V w 20Vby
The f oing instru n
this day
was acknowledges before me
�� 20_1 by
of
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 Identification
Type of Identification
Produced
Produced
a mu- b It UL2
)J l ea (� Pi/
fit
(Signature of NotaryPublic-State of Flo a-}
(Signature of Notary -Public- State of Florida )
Commission No. ; v: 'Ykl;; LE M SULLIVAy'•.';
CImmission No.
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': MY COMMISSION It GG043
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Hev. t/r/ly
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
• Rsistored 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 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
.-I
Professional Classic
19.9 to 55-Gallon Capacities
240 Volt AC/Single Phase
Double and Single Element Models
Electric
=
See specifications chart on back.
PRINT EO IN Us A. 08/17 WIP FORA NO. FREE RE N Rer.6
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Thenewde ofcanfM'
Professional Classic® Specifications
Residential Electric
,,`•^^,,, Water Professional Classic Water Heaters
DESCRIPTION
FEATURES
ROUGHING IN DIMENSIONS(SHOWN N INCHES)
ENERGYINFO.
T
Y
I,GALLON
E
NPMBLLL
CAPACITY
RATEII
0A ON
CARACIIY
MODEL
NUMBER
uEF
mu HeIIR
RATING
G.P.H.
EF
p3r FHOUR
"Two
G.PN.
"COVEN),
1N G.P.H.
WFRUIE
TANK
HEIGHT
A
HEMNfiO
WATERCOWL
B
ONMEFEII
C
APg10x.
SHIPW..
(LB54
ENERGY
FACTOR
UNNORM
ENERGY
FACTOR
PER
Tall
30
27
PROE30 T2 RH951
48
48
21
47-12
50-3/8
19-1/4
92
0.95
0.92
Tell
40
36
PROE40 T2 RH951
55
57
21
60-S%
63-5/8
19-1/4
109
0.95
0.0
Tell
SO
45
PROESO T2 RH951
W
67
21
585/8
61-S/8
20-1/4
121
0.95
0,93
Tell
55
55
PROE55 T2 RH941
67
71
21
57
59-314
22-114
128
0.94
0.92
Med.
30
27
PROE30 M2 RH951
45
44
21
37-1/2
40-12
20-1/4
92
0.95
0.92
Mad.
40
36
PROE40 M2 RH951
54
55
21
48-1/4
50-1/2
20-1/4
106
0.95
0.93
Mod.
50
45
PROE50 M2 RH961
62
65
21
48
1 50-1/2
23
132
0.95
0.93
Short
19.9
PROE20 S2 RH
21
31-12
31-12
17
62
Short
2B
25
PFIOE28 S2 RH95
43
42
21
30
31-1/8
23
95
0.95
0.92
Short
30
27
PROE30 S2 RH95 B"
43
42
21
30-1/B
32
19-3/4
95
0.95
0.92
Short
36
33
PROMS82 RH95
46
45
21
31-1/2
33
24-1/4
118
0.95
0.92
Short
36
35
PROE38 S2 RH95 B"
54
55
21
31-12
32-5/8
23
108
0.95
0.93
shM
47
43
PROE47 S2 RH95 B"
54
55
21
32
34
26-1/4
149
0.95
0.83
Uniform Energy Facto. Efwrgy Facto and retool gallon Capacity based w Denanmell of Energy (DOE) requirements.
t System Seminal optional. Add EC1 to the and of the model number. System Sentinel not asallable on single
element models, available on dual element modals only. System Sentinel not avallsble In excess of 5 kW on
208 V models.
Water feats, door sans Prior to iwaffg In wiation Market tt,at is included! Wth water teeter.
• Masters Mrimad with standard 240 vaft AC, si tle phase ran-smullarwgrs wining. end 4500 wan upper and IOww hosting
elements.
• 0 heating elements of different wattages than those shown are demanded by zone requlmments, they must be
specifically requested.
• Single ekYnent models available on specal ordso (60WW max.). Substitute -1' lor'2' in model number. -
• Special Winrg Options - A limited number of spacial wing oplions we waists. Consult factory for price and avaabily.
• NI modMs equpped with hoat traps.
RetwP4y=watia9al'2A2x GPI
Example: 4500W =21GPH
2.42 x 90°
Recovery calculations used are owed w 4500 wee elements used In non-simuRareous operation.
DIAMETER
A
WATER CONNECTIONS ALL 3/4" N.P.T.
In keeping with its poficy of continuous progress and product improvement Rheem reserves the right to make changes without notice.
Rheem Water Heating • 1115 Northmeadow Parkway, Suite 100
Roswell, Georgia 30076 • www.rheem.com
PRINTED IN LLBA W17 WP FORM NO. PRIDE RH N Rw.6
fQ Invoice 24878048
Admiral Plumbing Services
r PLUMBINGSEFVIC AService ExpertsCompany Invoice Date 7/17/2019
A Service Experts Company 2895 Jupiter Park 5 #700 Terms COD
561-746-1180 Jupiter, Completed Date 7/17/2019
80
License: CFC 1426115 Customer PO
Billing Address Job Address
Carol Cayce Carol Cayce
9839 Perfect Drive 9839 Perfect Drive
Port St Lucie, FL 34986 USA Port St. Lucie, FL 34986 USA
Description of Work
Installed 50 gallon water heater with permit.
Task# Description Quantity Your Price Your Total
T42610 STANDARD 50 GALLON ELECTRIC WATER HEATER 1.00 $825.00 $825.00
Permit WATER HEATER PERMIT 1.00 $225.00 $225.00
Paid On Type Memo Amount
7/17/2019 Visa $1,050.00
Sub -Total $1,050.00
Tax $0.00
Total Due $1,050.00
Payment $1,050.00
Balance Due $0.00
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
I hereby agree to have Admiral Plumbing Services A Service Experts Company complete the work described for the proposed price
regardless of the time it takes to complete the work.
ca,
7/17/2019
1 hereby acknowledge the satisfactory completion of the above described work.
v
7/17/2019
1 authorize Admiral Plumbing Services A Service Experts Company to charge the agreed amount to my credit card provided herein. I
agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.
// /Jf h ti / `7" — —