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I; All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
j; Date: 1117-Ic 4q
Permit Number:
Building Permit Application
"!arming and Development Services
3uilding and Code Regulation Division
-300 Virginia Avenue, Fort Pierce FL 34982
2iione:(772)462-1553 Fax:(772)462-1578
Commercial Residential ✓
?I RMITTYPE: �1�w�(JtVW
OSED IMPROVEM -
-Paa
Kess: 4�,l E. C°nrrrr.o�- Ave
- opertyTaxlDq: 3(41q-6-10C)OZ3
-000-6S Lot No. 7-3
-.�e Plan Name: IQi✓e'-A/t,-urr.12- BLLC
/n i7_z ernAIL.ZGe�ZZN�(or?[!S3-/J7}Block No. 2
� cject Name: ��larra_ M a - n 1...1wA,
Ld LED DESCRIPTION OF W
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Additional work to be performed under this permit -check all that apply:
i_Mechanical _Gas Tank
_Gas Piping _Shutters _Windows/Doors
j _Electric ✓Plumbing
_Sprinklers _Generator _Roof Pitch
f Total Sq. Ft of Construction:
I
Sq. Ft. of First Floor:
Cost of Construction:$ 4e/OO. f'U
Utilities: _Sewer _Septic Building Height:
M,
CONTRACTOR: NEMEC—
Name i 1i L
Name: a
Addressd::� r.o E
Company:
City: )&/p S4 A'zi r
State: FC Address: •yLo
Zip Code: 3d(51,5-2 Fax:
City: �o✓�a-/.t�GtL Stater
Phone No. W 2- S7/ 11"?
Zip CodeFax: :27 Z- 87/ 2669
I E-Mail:
Phone No
Fill in fee simple Title Holder on next page if different E-MaihL✓]t<v '-/'-
I from the Owner listed above)
State or County License G
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.
M
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ✓Not Applicable
MORTGAGE COMPANY: i/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:
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 an covenants that may restrict or such
prohibit
Structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
'.n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
Ir 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/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID!5�
STATE OF FLORIDA
COUNTY OF ��c i�
COUNTY OF
The for ing instrume�npwas acknowledged before me
The forgoing instrumen was acknowledged before me
this
oa�f_AlPtl ./201 by
this_j, o�f20� by
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/'Clb/ el tl PlAl- —
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Name of person making statement.
Name of person making statement.
Personally Known �c OR Produced Identification
Personally Known VOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si re of Notary P G i tate of Florida)
(Signature of ary Puhllc-S e o orida )
ommission No.
Commission No.
14MI ublic State MFlwide
li O Graham
.ra` Naary Public State MFblide
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DATE
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DATE
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Rev.
BRADFO D WHITE®
W A T E R H E A T E R S
Residential Lowboy
Energy Saver Electric Water Heater
•' I
Photo is of
M-1-20L6DS
I'
Copper Screw Type Immersion Element
i�acaby Ipp hrrtanim Yemeni stiletle upon ,ap,eeq
The Lowboy Electric Models Feature:
is DOE —All residential storage models above 20 gallon capacity meet or
exceed efficiency requirements of the Department of Energy, ASHRAE
Standard 90.1 b (current standard) and the National Appliance Energy
Conservation Act of 1987 recent amendment effective January 20, 2D04
which supersedes all state and local efficiency requirements.
■ Applications --Standing at a height of less than 33", Lowboy models are ideal
for installations where space is at a premium and are perfect for tight
installations such as a closet or under a counter.
■ Fully Automatic Controls —Fast acting surface -mount thermostats for
automatic temperature control. Factory installed sensitive manual reset energy
cut-off for safety to prevent overheating.
■ Direct Heat Transfer Whit Immersed Elements —Transfers heat directly
and efficiently to the water. Screw -in style.
■ Factory Installed Hydrojete Total Performance System old water inlet
sediment reducing device helps prevent sediment build up in tank. Increases
first hour delivery of hot water while minimizing temperature build up in tank.
■ 1Rtraglase Lining —Bradford White tanks are lined with an exclusively
engineered enamel formula that provides superior tank protection from the
highly corrosive effects of hot water. This formula Nitraglasej Is fused to the
steel surface by firing at a temperature of over 1600-F (871-q.
■ Non-CFC Foam Insulation —Covers the sides and top of the tank, reducing
the amount of heat loss. This results in less energy consumption, improved
operation efficiencies and jacket rigidity.
In Water Connections-43'4" NPf factory installed true dielectric fittings extend
water heater life and eases installation.
■ Factory Installed Heat Traps —Design incorporates a flexible disk that
reduces heat loss in piping and eliminates the potential for noise generation.
(Except for 10-1-20LBDS).
■ Protective Magnesium Anode Rod —Provides added protection against
corrosion for long trouble -free service.
■ Simultaneous and Non -Simultaneous Operation Available —
Simultaneous operation indicates when both elements (if equipped) are being
heated at the same time. Non -Simultaneous operation indicates when one
element is being heated at a time.
■ Voltages Available-120V, 208V, 240V, 277V, 480V.
■ Single Phase or Three Phase Operation Available-277V may only be
wired for single phase operation.
If T&P Relief Valve Included —Side T&P is standard. Optional top T&P
location is available.
■ Low Restriction Brass Drain Valve —Durable tamper proof design.
■ Design evaluated by ETL in accordance with Part 280.707(d) of HUD
Mobile Home Construction and Safety Standards for Energy Efficiency.
a�u�J
0��p�p�
0d
G. W X•
6 or 10-Year LfmMad Tank Warranties /6 or 10-Year Limited Warranty on ComponentVartit.
For more information on warranty, please visit wermbradfordwhite.com
7k ine
For pnaducts lneialklm USA, Careed and Puerto Rkto. Soma stares do not aflw limitations on waran4es. See complete
copy of the wamnty Included with Me heater.
2N-Bt0015
Residential Electric Water Heater
Lowboy Energy Saver Models
C.E.C. Listed
Model
Number
Capacity
U.S. ImY.
Gal. Gel.
Nacovery
90-F Nix
0.5. Imuu.
GPH' GPX`
A
He to
Heeler
lop
In.
6
Jel l
DIW
In.
C
NDarm
Mier
Co...
in.
D
Floor to
TAP
Co...
In.
App os.
SM1IipyylnB
WeIAM
In$.
_ M-1.20L6D5
19 16
21 18
24w
18
26
19014/241/e
58
on Ltu5"
a0 25
21 18
Snub
20
31
24129`1,
86
M-2.3oLSDS
30 25
1 21 18
30
22
31
1411e/311h
96
M940L603•'
40 33
21 16
3P/4
22
3211e
2411d 31-0
115
M840L6OS
40 33
21 18
324e
24
331A
241/0330/e
121
M4-5OL60S"
47 39
21 18
311h
24
nth
24Va/3194
140
MR-SOMS
47 39
21 18
3244
26
331A
24%/33Ne
143
Mudel
Number
Capacity
LNere
He.",
SD°C Ruse
Li a sf
Hour
A
Flset to
Ndel
Tap
B
Jacael
aia.
coon,
C
Ftmto
speed,
Conn.
coon.
D
Sport'
T&P
Conn.
Alpha.
SMpyyInA
WeIAM
A9.
M-1-20LBDSt
72
76
629
457
6es
499/632
26
M-1-30161DS••
114
76
756
SOB
781
6101746
39
poll SOURS
114
76
762
559
787
613/n4
44
M-1-40L6DS--
161
76
794
559
US
6131806
52
Md-0OL6DS
151
76
$16
610
But
6131848
55
M4.50LODS"
178
76
794
610
Sul
6131806
64
11-2-50Le0S
178
76
816
660
Sal
613/848
65
— Md dais include supplied insulation blanket.
Far 1 G year models, change suhix %- to "10'.
F21 single element models change Cuts.-D'to'S'.
-lased on 450OW/4500W, Non -Simultaneous operation.
A': models feature optional top T&P location and must be specified when omerirlg.
-Fxempt from ASHPAE 90.1D (curtain standard).
a-D- dimension listed as side/top.
All based on NonSimuaaneous
operation, when Simultaneous
operation the GPH will approximately
doubt.)
Generel
All models Mlisted. These heaters are wired inter-Iockig(NonSimultaneous, Single Phase)
24W with two 4500W elements, unless otherwise specified.
All water and electrical connections are 3/4- NPT (19mm).
All models certified at 300 psi test pressure (2068 kPa) ant! 1 W psi working pressure (1034 kPa.)
Dimensions and speN!/caUone su isecf to change well notece N accardance with our policy of continuous product improvement.
1*
BRADFORD WHITE'
r 4 * Amble,.PA4 . e :
Fw D.S. and Canada lea xrvice, concoct your promosereal installer or local BraMoM whom sales momsematiwe.
Sales 800523.2931 a Fax 216A414670/ Technical Support BOO-33 898a Fax 2W795.1089a Warranty 800531-2111 a Fax 289.795.1089
Inhemational: Telephone 215-641-9400 a Wax 21WI-9750/ wwwbntlfordwhite corn
BRAOFORDWHITE-CANl. Salo /Tedlncal Support 886.690-0961/905-239-0100a Fax 905.238-0105/ wwwAnffordwhite.corn
Built to be the BestTM
W015, Bradford While Corporation. All d9hts reserved.
2^3-8-0315 Primed In D.S.A.