HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d'� �✓ _ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Water heater replacement
PROPOSED IMPROVEMENT LOCATION.
Address: 5213 Hickory Dr, Fort Pierce, FL 34982
Property Tax ID #: 3402-608-0431-000-9
Site Plan Name: Quinn
Project Name: Quinn
Water heater replacement - AO Smith 40 gallon tall 4500 watt
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
Residential x
Lot No.
Block No.
Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric x Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,325.98
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Quinn
Name: Paul Cloutier
Address: 5213 Hickory Dr
Company: FPL Home Services
Address. 6001 Village Blvd
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. (615) 454-7934 r
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No 561-747-5740
E-Mail: rick-quinn@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jordana.whitter@fpl.com
State or County License CFC1430331
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.
S�JPP EME UTAL CONSTRUCTION I;I N LAW
_ _ -
INFOFRMATI4N r
-
DESIGNER/ENGINEER:
x_ Not Applicable
MORTGAGE COMPANY:
x 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 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 reviews room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal 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 recording vour Notice of Commencement.
�dGCL�GQ2
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
Swgrn to (or affirmed) and bscribed before me of
�! Physical Presence or Online Notarization
this //)//V) day of NO 2021 by
f person makinfg statement,
Ily Known OR Produced Identification
Identification
of Notary Pu
No.
RECEIVED
DATE
FRONT
COUNTER
State
(Seal}
ZONING
REVIEW
STATE OF FLORIDA
COUNTY OF
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this ?Q, day of A r _, 202# by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Notary Public- State of Florida )
Commission No,
S
VREVIEWON
S
MREV
REVIEWOR
I REVIEW
I
I REV EWLE
I EWVE
FPL Home Services
7830 Byron Drive #7
Riviera Beach, FL 33404
Billing Address
Richard Quinn
5213 Hickory Drive
Fort Pierce, FL 34982 USA
Description of Work
Estimate sold
Invoice
96638744
Invoice Date
11/17/2021
Completed Date
11/17/2021
Customer PO
Payment Term
Due Upon Receipt
Due Date
11/17/2021
Job Address
Richard Quinn
5213 Hickory Drive
Fort
Pierce, FL
34982
USA
Task #
Description
Quantity
Your Price
Your Total
M0103800801
Estimate
1.00
$0.00
$0.00
Sub -Total $0.00
Tax $0.00
Total Due $0.00
Balance Due $0.00
Please mail all payments to
FPL Home Services
7830 Byron Drive #7
Riviera Beach, FL 33404
By signing this authorization, I also agree to be bound by the governing Terms and Conditions.
11/17/2021
By signing this acknowledgement, (certify that the work performed by DANIEL SMITH - 00081432 at Richard Quinn, for the amount of $0.00 has
been completed.
11/17/2021
Credit Card Payment Authorization
Print Name below as it appears on credit card
Please pay total due amount. Thank you.
Payment Type Credit Card # EXP CVC
Name on card Signature
Remit to: Amount Due: $0.00
FPL Home Services
7830 Byron Drive 4V7
PROLINE° STANDARD
COMMERCIAL -GRADE RESIDENTIAL
ENHANCED HEATING ELEMENTS
• Dual 4500 watt elements for fast recovery
and reliable operation*
• Incoloy stainless steel lower element lasts
longer than a standard copper element
DYNACLEAN"" pIFFUSER DIP TUBE
• Helps reduce lime and sediment buildup
and maximizes not water output. Made
from long-lasting PEX cross -linked
polymer (diffuser design is not used on
lowboy models,)
HIGHER EFFICIENCY
• Eco-friendly non-CFC foam Insulation,'
heat traps and other features combine to
yield a higher Uniform Energy Factor that
maximizes savings on operating costs.
COREGARD"ANODE ROD
' •Our anode rods have a stainless steel
core that extends the life of the anode
rod allowing superior tank protection far
longer than standard anode rods
BLUE DIAMOND® GLASS COATING
• Provides superior corrosion resistance
compareA to industry standard glass
lining
ENHANCED -FLOW BRASS DRAIN VALVE
• Our residential water heaters have a solid
brass, tamper resistant, enhanced -flow,
ball type, drain valve
• Uses a standard female hose fitting that
allows for fast and easy draining during
maintenance
• Designed for easy operation, this valve
Includes an integral screwdriver slot that
features a In turn (open/close) radius,
which not only permits full stralght-
through water flow but also a quick and
positive shut off
WIT&I PILM
RESIDENTIAL ELECTRIC WATER HEATERS
COpE COMPLIANCE
• Meets UBC and (CC National Codes and
listed with CEC
Complies w(th the Federal Energy
Conservation Standards effective
April 16, 2015, in accordance with the
Energy Policy and Conservation Act
(SPCA), as amended
APPROVED FOR MANUFACTURED
HOUSING
• All residential electric water heaters are
compliant with HUD Standards for mobile
homes/manufactured housing
CERTIFIED TO UL 174 FOR HOUSEHOLD
ELECTRIC WATER HEATERS
CSA CERTIFIED AND ASME RATED TO
RELIEF VALVE
DESIGN -LISTED BY UNDERWRITERS
LABoRATORIEs
• Certified at 300 psi test pressure and 150
psi working pressure
Listed according to UL 174 standards
governing storage tank -type electric water
heaters
6-YEAR LIMITED TANK AND PARTS
WARRANTY
• For complete Information, consult written
warranty or go to hotwater.com
®October 2020 A, o.
Smllh
Corporation, All rights
reserved.
Www.holwatercom
1800.527-1953
Toll•Pree
USA
i A. 0. Smith Corporktion
1500 Tennessee Waltz Parkway
I Ashland CIty,7N 37015
Page i of 2
AOSRE5060a
Sm0'
ith
RESIDENAIAL ULU KKC WAAMR NtAAMRS
Rated
First Hour
Recoue ®
ry
l lementWatta
g a
24UV
Dimensions
In
Inches
Approx,
'Model
Ntimller
Nominal
Capacity
Storage
Volume
Rating
(Gallons)
UEF
90"F Rise
Gallop Per
Shi In
pp
Weight (I s)
Standard
Minimum
Maximum
A
B
C
Hour
Tall Models
ENT30t
30
27
48
01B9
21
4500
1000
1 6000
J 46-1/2
39-112
1 19
95
ENT40t
40
36
53
0,92
21
4500
3500
1 6000
61-114
53-1/4
18
118
ENT50t
50
46
62
0.92
21
4500
3000
1 6000
59
51-t14
20.1/2
125
ENT55t
55
55
72
0,93
21
4500
2500
6000
56-1/2
48-1/2
24
145
Short M6&els
ENSB-30*
30
27
50
0090
21
4500
1000
6000
39
30112
20
95
ENS-30
30
27
47
0.89
21
4500
1000
6000
39-314
30.112
22
94
ENS40t
40
37
55
0,92
21
4500
® 4500
6000
49.3/4
40-3/4
20.112
109
ENS40Wt
40
37
41
0.88
18
1000
4000
49-3/4
40.3/4
2(M/2
109
ENS450t
50
46
57
0.92
21
1 4500
2500
6000
49-1/4
40-3/8
23
161
L•6Wb6To Connect Mdddls
ENLB 30*t
28
26
43
0,89
21
4500k
000
6000
30
21 314
20
90
ENL 30t
28
26
44
0.90
21
4500000
6000
31114
21 314
24
115
ENL-36t
36
33
51
0,92
21
4500
4500
6000
32
24
24
118
ENL-36Wt
36
33
37
0089
18
000
4000
32
24
24
118
ENL-40t
38
35
50
0.89
21
4500000
6000
33112
24
26
118
ENLB-40*t
38
35
51
0,92
21
4500
4S00
6000
32
24
23
118
ENLB-40W*t
38
35
1 38
0;90
1 18
-
1000
1 4000
32
24
23
118
ENLB-50*t
48
44
60
0,93
1 21
4500
® 4000
1 6000
34
25
26A/2
172
ENLB 50W*t
48
44
40
0,91
16
1000
1 3500
34
25
2&1/2
172
ENL-50t
51
48
51
0,92
21
4Soo
4000
1 6000
36
25
26.1/2
172
Male 3/4" water connections an 8" center,
'Models ship with supplied Insulation blanket.
tFor to•year tank and 10-year parts warranty, change "E" to "P' in the model number (example: ENT 30 becomes PNT 34
Models requiring a lower wattage than what Is listed In the minimum wattage column and showing the a symbol, will change to a 'W" suffix model number.
'W" suffix models are available down to ft, (example; ENSAO using 4,000 watt elements or less will become "ENS•40W").
Top TU Is not available on the 10 year lowboy models and the ENLAO.
Dimensions and specifications subject to change without notice In accordance with our policy of continuous product Improvement.
Minimum wattage for ENT SO Is 3000 Watts,
T&P VALVE
ACCESS
PANEL
ACCES5
PANEL
DRAIN
VALVE
ANODE
SECOND ANODE ROD FOR LOWBOYS
OR OPTIONAL TOP T&P (All Other Models)
C O O JUNCTION
BOX
T&P VALVE
®Octabet 2020 A, 0, Smhh Corporatlon.AllrighIs reserved, Page 2 of 2
www,hotwater.<om 1800•527-1953 Toll•Free USA I A.O. Smith Corporation (500Tennessae Waltx Parkway � Ashland Clty, TN 37015 AOS8E50608