HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC)Ur4 Y
F L O R 1 0 A
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 Residential xxxxxxxx
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S Ocean Drive Building 2 Unit 1006 Jensen Beach, FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 1006 (OR 670-2048:1617-260; 3417-1317)
Property Tax ID #: 3535-603-0090-000-0
Site Plan Name: Barry Hixon
Project Name: Barry Hixon
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
supply & install Rheem 50 gallon tall electric water heater with ball valve, water heater pan &
expansion tank
itiona wor toe nertormed under this permit — check all that apply:
HVAC Gas Tank F]Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing El Sprinklers Generator Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1020.00
Sq. Ft. of First Floor: _
Utilities: L _I Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Barry Hixon
Name: Lonnie Culbertson
Address: 8800 S Ocean Drive Building 2 Unit 1006
Company: Jensen Beach Plumbing
City: Jensen Beach State: FL
Zip Code: 34957 Fax: N/A
Phone No. 772-227-4095
Address: 1086 NE Industrial Blvd
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 772-225-6779
Phone No. 772-225-6600
E -Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: renee-jbplumbing@bellsouth.net
State or County License: FL#RF11067372 / 24654
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Na e:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip: —
Phone:
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 thepermit 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 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
commencing work or recording your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID / STATE OF FLORIDA /
COUNTY OF f> �(r COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of /411- 20 __�Lby this � day of 4,2-U , 20 i l� by
(Name of person acknowledging) (Name of person acknowledging)
f
(gA ature Notary Public- State of Florida) (Sin ure of o ary Public- State of Florida )
Personally Known ZOR Produced Identification Personally Known P- OR Produced Identification
Type of Identification Produced --Type of Identification Produced
Commission No. !'C SS' _°�t Ue`( eaACLYN F W I L (2Yn ission No. I S`) A`'" `'4�-, (%JD}YN F WILSO
I M COMMISSsrN FF 59777 My COP,IMISSION #FF159
:�P
,.�o;� EXPIRES Nove:nrer 2018
398-0153 FloridaNni:,;:,P.:•:vice.com
Revised 07/15/2014
796-0153 Fioridallot
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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Professional Classic" electric water heaters are
engineered for longer life - resistored heating
elements and premium grade anode rod
Eff Iciency
Perform2nee
System Sentinel
Longer Life
eatures
Plus...
Warr2nty
P essional classic Water Heat
ro, .
ProfessiorfaI Classic
See specifications chart on back..
Professional Classic"' Specifications
^^ Professional Classic Water Heaters
DESCRIPTION FEATURES ROUGHING IN DIMENSIO`:S {SH04YN IN ik^HfSi E !En�T r+'U
GA_. MO]E- -'P 1?E
. 4 -➢Gy
hi/Y3 r,7'., <G _-.-Sc _ ._
- System Sentin?! ontoneL Add ECt to the end o1 the model number. Sy's'tem Sentir_I not avai!ab!e on 9in3'.e
eiement modes, availabie on dual elament models only. System Sentinel no: avaiiable in excess of 5 kW or.
206 V Models.
HOT
, he=_ling elements C. dh!erent wattages than those shown aro demanded by zone-q_ireme n .s..h_y must be WATER ; Q
requested. CONNECTION
RELIEF VALVE CONNECTION
CONNECTION ANODE
ROD
DIANE—ER 1
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WATER CONNECTIONS ALL 314' N.P.T.