HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential J
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 12623 S INDIAN RIVER DR - JENSEN BEACH, FL 34957
Legal Description:' ^EnCEMEGO TOFLOTee.v ormNmoreu smxuN Dm DED w ISGII.SLY E%TOE wuorso.m11...n rTTD we, TN DDxraI. DEG wumED IT TNN 61 DEG
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Property Tax ID #: 4504-310-0005-000-6
Site Plan Name:
Project Name:
Setbacks Front Back._
IPTION OF WORK:
Right Side: Left Side:
REPLACE FAILED ELECTRIC WATER HEATER LOCATED IN LAUNDRY ROOM.
Lot No.6
Block No. 2
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name GERARD KREWER& EVA TAKACS-DiLORENZO
Name: ROBERT W. LUDLUM
war to a erorme un ert is permit—c ec
a ap
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: n/a
Phone No. 912-617-0949
Opy:
II��iilIiona
HVAC Gas Tank
Das Piping
E -Mail: n/a
Windows/Doors
Electric ❑✓_Plumbing
Sprinklers
_Shutters
0Generator
11 Roof
Total Sq. Ft of Construction:
5Ft. of First Floor:
Cost of Construction:$ 177(1-er
Utilities:"nSewer Septic
Building Height:
OWNERAESSEE,, _iu.,I, ,
CONTRACTOR:
Name GERARD KREWER& EVA TAKACS-DiLORENZO
Name: ROBERT W. LUDLUM
Address: 12623 S INDIAN RIVER DR
Company: BENJAMIN FRANKLIN PLUMBING
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: n/a
Phone No. 912-617-0949
Address: 1631 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
41 .aG,D Or wnearuuTvn lbp&EILNLJ or mere, a ncE.vnncn nonce or wmmencemenc is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Nat Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy 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 antl covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may aOoly.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA,�7—Z.,i
COUNTY OF
The foJgoing instru nt yv s acknowledged before me
this Srday of , 2oyy by
4
(Name of person acknowledging )
(Siinature of F otary Public- State of Florida )
STATE OF FLORIDAs J
COUNTYOF A
The forgoing instru�ent was acknowledged before me
this Arday of �/% �20 /L by
"""Y %a./bnf
(Nam(eY/o/f�Jp�ersop-n�a-cknowl edgi(n�[g�p)-f/..
(Sign urs of N%I- Public- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known ' OR Produced Identification
Tye of Identification Produced Type of Identification Produced
COMMI551 nTlo. .•""'r'""+., (Seal) BECKY TALBOT o ission No. ": w (Seal) BECKY iALBCT
s
Notar Public . •A e: Notary Public - State o1
Y Site of FIS as
•�@ f..ma.a,,..ce nc•. '�'s Commission N FF 96
Revised 07/15/2014 1 -""" Arx` Bmlaeb
Bomm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
CeSmith® Residential Electric
Water Heaters
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" DIFFUSER DIP TUBE
• Helps reduce lime and sediment buildup
and maximizes hot water output. Made
from long-lasting PEX cross-linked
polymer.
HIGH ENERGY FACTORS
• Eco -friendly non -CFC foam insulation,
heat traps and other features combine
to yield a higher 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 coffosion resistance
compared 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 fining that
allows for fast and easy draining during
maintenance.
• Designed for easy operation, this valve
includes an integral screwdriver slot that
features a Y4 turn (open/close) radius,
which not only permits full straight -
through water How but also a quick and
positive shut off.
'Model ENL.20 has a Single element.
CODE COMPLIANCE
• Meets UBC and ICC National Codes and
listed with CEC.
• Complies with the Federal Energy
Conservation Standards effective
April 16, 2015, in accordance with the
Energy Policy and Conservation Act
(EPCA), 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 TRP
RELIEFVALVE
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 hotwateccom.
" UL
® Fai 2016 A O. Smith Corpmmon. All rights served. Pae 10 E
www.holwatei I 9 527-1953 TolFiree USA IA. a Smith connotation I SW Tennessee Waltz Parkway IAshiend Ch,, TN 37015 AOSRES0602
(COSMithe
Residential Electric
Water Heaters
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•Models ship qM supplied insulation blank¢,.
irnr Mies p tank and 6yxar panswartaneOmnge'E"m'P'in rae model number evample:EMdpbemmezPM-301.
♦ L20 is opam rotzmlableonratsmodel.
EN post
iSa5in91e 0st 12M Used on tie Dol
NT-
OpdmNi@P london tlB'e used on the FM -5p, ENT 350, ENT -S5, ENSdp and fN5-50
i0pi9P isnota rd Sitadleble ti °e 10 uditsear modele witho
Dunenvons and ipedfWgns sublea to Change wilM1om notice in atmrdantexiraau, polity of intentions podua improvement
T&P VALVE
ACCESS
PANEL
ACCESS
PANEL
DRAIN
VALVE
ANODE (OR OPTIONAL
T&P LOCATION #1)
O OPTIONALT&P
° LOCATION #2
C O ° O JUNCTION
BOX
T&P VALVE
For tethr ical information Eall 800.527-1953.A. a Smith Corporation reserves the right to make product changes or improvements 7out prior notirn.
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Mile ]li- Wam chrobaIOn5018"Role,.
•Models ship qM supplied insulation blank¢,.
irnr Mies p tank and 6yxar panswartaneOmnge'E"m'P'in rae model number evample:EMdpbemmezPM-301.
♦ L20 is opam rotzmlableonratsmodel.
EN post
iSa5in91e 0st 12M Used on tie Dol
NT-
OpdmNi@P london tlB'e used on the FM -5p, ENT 350, ENT -S5, ENSdp and fN5-50
i0pi9P isnota rd Sitadleble ti °e 10 uditsear modele witho
Dunenvons and ipedfWgns sublea to Change wilM1om notice in atmrdantexiraau, polity of intentions podua improvement
T&P VALVE
ACCESS
PANEL
ACCESS
PANEL
DRAIN
VALVE
ANODE (OR OPTIONAL
T&P LOCATION #1)
O OPTIONALT&P
° LOCATION #2
C O ° O JUNCTION
BOX
T&P VALVE
For tethr ical information Eall 800.527-1953.A. a Smith Corporation reserves the right to make product changes or improvements 7out prior notirn.