HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:9/29/21
Permit Number:
O
g Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:487 SE VERADA AVE
Property Tax ID #:3419-530-0056-000-0 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION WORK:
40GAL NATURAL GAS WATER HEATER LIKE FOR LIKE REPLACEMENT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
X_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $2069.00
— Gas Piping
_Sprinklers
_ Shutters _ Windows/Doors _ Pond
—Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RORFRT TFARI F
Name: RICHARD BASSOFF
Company: ADMIRAL PLUMBING SERVICE, A SERVICE EXPERTS COMPANY
Address: 2895 JUPITER PARK DR #700
City: JUPITER State., FL
Zip Code: 33458 Fax:
Phone No 561-225-3356
E-Mail 208PERMITTING@SERVICEEXPERTS.COM
Address:4R7 SE VERADA AVE _
City: PSL State: FL
Zip Code: 34983 Fax:
Phone No.772-201-4536
E-Mail: R1TEARLEQA0L.00M _
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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.
ig ature of O e ssee/Contractor as Agent for Owner
S' n ture of Can a License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PAW 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 2g_ day of SEPT 2021 by
this 2 Cg day of SEPT, _ 202q by
RICHARD SASSOFF
WCHARD 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
Pr aced
Pro ce
77_
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ature of N ry Public- State of Flo i
G233150 fN tart' Public State of F#o
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mmisslon GG233150 ;� e&queline Georges
< My Commission GG '331
Expires 06/2812022
iO J � My Commission GG 23
Expires 4612872022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
r d r Admiral Plumbing Services
Estimate 79483115
r BIN SERVICES A Service Experts Company
Job 79473252 Estimate
A Service Experts Company 2895 Jupiter Park DR #700
Date 9/21/2021
Jupiter, FL 33458
Customer PO
561-746-1180
License: CFC 1426115
Billing Address
Job Address
Rob Tearle
Rob Tearle
487 Southeast Verada Avenue
487 Southeast Verada Avenue
Port St. Lucie, FL 34983 USA
Port St. Lucie, FL 34983 USA
Estimate Details
Water heater
Task # Description
Quantity
Your Price Your Total
T42540 40-Gallon Standard Water Heater - Natural Gas
1.00
$1,759.00 $1,759.00
Permit WH (1) Water Heater- Permit
1.00
$150.00 $150.00
*Required by Building Department
A13210 3/4" Ball Valve - CXC
1.00
$85.00 $85.00
*Water Heater Ball Valve
A14860 Water Heater Expansion Tank (Tank Only)
1.00
$225.00 $225.00
D70662 Discount- Managers Approval
1.00
$-150.00 $-150.00
Sub -Total $2,069.00
Tax $0.00
Total $2,069.00
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 a job 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.
This is an electronic signature. Please type your first and last name.
Customer Signature:
9/21/2021