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Home My WebLink AboutBuilding 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: 14 LAKE VISTA TRL 106 Property Tax ID #: 3422-500-0188-000-1 Site Plan Name: Project Name: WATER HEATER DETAILED DESCRIPTION OF WORK: Permit Number: Building Permit Application Commercial Residential X 30- GALLON ELECTRIC WATER HEATER REPLACEMENT CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: _ Cast of Construction: $ 1,694.00 Lot No. Block No. Windows/Doors Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ANNE SAMOYLO Name: RICHARD BASSOFF Address: 14 LAKE VISTA TRL, 106 Company: ADMIRAL PLUMBING SERVICES, LLC City: PORT SAINT LUCIE FL State: _ Zip Code: 34952 Fax: Phone No. 914-860-6381 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 CFC-1426115 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 I MORTGAGE COMPANY: _ Not Applicable Name:_ Address City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: City:_ Zip: 1909 3 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 YOUILLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT OF COMMENCEMENT." Signat f Owner/ Lessee/Contra or t for Owner Signature C ttractor/License H STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF PALM BEAc The for oing instr yv��s cknowledg before me � I � The for oing instru en was a knowledged efore me y- �J / this day of UJ 20� by this day of 20 by RICHARD BASSOFF RICHARD BASSOFF Name of person making statement. Name of person making st ement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of No Public- of Florida (Signature of Note 4 NICOL M SULLIVAN ETCP�L1 : o!"'j-: NICOLE M SULLIVAN Commission No. '�' i, COMMISSION # GG043125 Commission IN ;:'; MMISS61IN18G043125 " EXPIRES October 30.2020 "'•'., G ,.� EXPIRES October 30. 2020 REVIEWS FRONT PLANS VEGETATION MANGROVE ZONING SUPERVISOR SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. Z/ // 19 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-.93UEF • 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 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, [CC 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 {•i.�CEFIIEIEV See specifications chart on back. PRINiEO IN U.S.N. 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