HomeMy WebLinkAbout2306 S 39TH ST_PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/21 Permit Number: 2019-0065 MASTER PE
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing hookup
PROPOSED IMPROVEMENT LOCATION:
Address: 2306 S 39TH ST FORT PIERCE, FL 34981
Property Tax ID #: 2420-221-0009-000-8 Lot No.
Site Plan Name:
Project Name: Plumbing hookup
DETAILED DESCRIPTION OF WORK:
Block No.
Install up to 150' of 3/4" uponor pex water service from hose bib on right side of
main building and tie into bathroom on back of modular unit
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_ Electric X Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3400,00
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJWL ENTERPRISES INC
Name: RICHARD BASSOFF
Address:8041 SE ORCHID TER
Company: ADMIRAL PLUMBING SERVICE, A SERVICE EXPERTS COMPANY
City: HOBE SOUND State:EL
Zip Code33455 Fax:
Phone No.561-329-4756
Address:2895 JUPITER PARK DR #700
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No561-225-3356
E-Mail: JAWANDROS(d)AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 208PERMn7lNG@SERVICEEXPERTS.COM
State or County License CFC1426115
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 TITLE HOLDER: — Not Applicable
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 attorney before commencing work or recording our Notice of Commencement.
�*
dig ature of 0 e ssee/Contractor as Agent for Owner
S' n Lure of Con a �i License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PAIrA BFACH
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))-dayof MARCH 2O21 by
this day ofhA.AP 20Z$ 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 Id ntification
Pr94uced
Pro ce
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
L7AM
JWL ENTERPRISES INC
2306 S 39TH ST FORT PIERCE, FL 34981
• Install up to 150' of 3/4" uponor pex water service from hose bib
on right side of main building to bathrrom of portal
x Admiral Plumbing Services Estimate 73117096
PLUMBING SERVICES A Service Experts Comppanyy Job 73023635
A8ervlae arts SERVICES
ry 2895 Jupiter Park DR 8700 Estimate Date 3/8/2021
P Jupiter, FL 33458 Customer PO
561-746-1180
License: CFC 1426115
Billing Address Job Address
JWL Enterprises Inc Phil Willson
8041 SE Orchard TER 2306 South 39th Street
Hobe Sound, FL 33455 USA Fort Pierce, FL 34981 USA
Estimate Details
Water Service:
We will call for a utility line mark out before we dig. Admiral Plumbing is not responsible for the repair or replacement of
any underground cable, wire, or pipe of any kind.
Dig trench with machinerryy.
Install up to 150 feet of 3/4" Uponor Pex water service from hose bib on right side of building and tie into bathroom at
back of building.
Backfill. Admiral Plumbing is not responsible for restoring excavated area to original condition.
Plumbingg ppermit is required. Customer is responsible for any additional requirements by the building department
Total $3,400 including all discounts.
50% deposit is due with the signed estimate and the balance is due upon installation.
Task S Description Quantity Your Price Your Total
T71708 MISCELLANEOUS -WATER SERVICE REPAIR OUTSIDE 1.00 $3,375.00 $3,375.00
Permit General Permit 1.00 $225.00 $225.00
*Required by Building Department
D70662 Discount- Managers Approval 1.00 $-200.00 $-200.00
Sub -Total $3,400.00
Tax $0.00
Total $300.00
Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. All material is guaranteed to be as specified. All work is to becompleted 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 thatwere paid by Admiral Plumbing.
This is an electronic signature. Please type your first and last name.
3/8/2021