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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/8/21 Permit Number: S5-ro LEE Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential x PERMIT APPLICATION FOR: WATER HEATER REPLACEMENT PROPOSED IMPROVEMENT LOCATION: Address: 10980 S OCEAN DR 512 Property Tax ID #: 4512-702-0017-000-1 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 30GAL ELECTRIC WATER HEATER REPLACEMENT New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _ Electric -�- Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: _ Cost of Construction: $ $2059.00 Sq. Ft. of First Floor: Lot No. Block No. _ Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Brett Long Name: Richard Bassoff Address: 230 Lakeshire RD Company : ADMIRAL PLUMBING SERVICES, A SERVICE EXPERTS COMPANY City: Battle Creek , MI State: _ Zip Code: 49015 Fax: Phone No. (269) 986-0101 Address: 2895 JUPITER PARK DR #700 City: JUPTIER State: FL Zip Code: 33458 Fax: Phone No 561-746-1180 E-Mail: brett2323@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 208PERMITTING@SERVICEEXPERTS.COM State or County License CFC1425116 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. if value of HAVC 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 TITLEHOLDER: NotApplicable 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencing work or recordine vour Notice of Commencement. l L /// Signature of Owner L e/Contractor as Agent for Owner ! /'/// Signature of Con r icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF PALM BEACH Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization x Physical Presence or Online Notarization _ this 8 day of FEB 2020 by _ this 8 day of FEB 2020 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 Pr7ced Produced ( ture of No a Publi Ig ature of Nota Pub' ,. �.0 Notary Public State of Florida mission No. JagpuBline Georgescu Notary Public State of Florida mission No. �° JacgJ LgglGeorgescu MyrfMfission GG 233150 Z3C) of M1� Expires 06/28/2022 In f Ex Co miss /2 22 233150 Ada Expires 08/2e/2022 C.J31 pd� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20 4 Adkdral F"r PLUMBING SERVICES A Service Experts Company Billing Address Brett Long 10980 S Ocean Drive #512 Jensen Beach, FL 34957 USA Admiral Plumbing Services A Service Experts Company 2895 Jupiter Park DR #700 Jupiter, FL 33458 561-746-1180 License: CFC 1426115 Invoice 38035867 Invoice Date 11/25/2020 Terms COD Completed Date 11/25/2020 Customer PO Job Address Brett Long 10980 South Ocean Drive #APT 512 Jensen Beach, FL 34957 USA Description of Work Furnished and installed 30 gallon lowboy water heater with two ball valves, three-quarter inch flexes, and permit. Had to cut out condensate for AC system coupling that back together Ran TMP to the pan installed. Flood stop 3500 W Rheem 30 gallon lowboy that was installed. Permit is required. Customer is responsible for any additional requirements from building department. Task # Description Quantity Your Price Your Total T61200 LOWBOY 30 GALLON ELECTRIC WATER HEATER 1.00 $944.00 $944.00 PermitWH WaterHeater- Permit 1.00 $225.00 $225.00 *Required by Building Department ELCWHIP- ADMIRAL PLUS PACKAGE COVERS ALL CODE REQUIREMENTS AND INCLUDES 1.00 $595.00 $595.00 PLUS THE ITEMS RECOMMENDED TO REPLACE WHEN INSTALLING A NEW TANK AT A DISCOUNTED, PACKAGE PRICE Professional installation of New Electric Water Heater *New Drain Pan *Copper Line Retrofit *Water Heater Stand if necessary *New 3/4" Ball Valve Shut Off *Install to Code *Haul off and Dispose / Recycle old Water Heater *New Expansion Tank T99923 Furnish and Install Water Heater Flood Stop 1.00 $395.00 $395.00 Plug in or Battery *Batteries must be replaced yearly Discount Discount- Postcard 1.00 $-100.00 $-100.00 Paid On Type Memo Amount 11/25/2020 Check $2,059.00 Sub -Total $2,059.00 Tax $0.00 Total Due $2,059.00 Payment $2,059.00 Balance Due $0.00 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. 11/25/2020 1 hereby acknowledge the satisfactory completion of the above described work.