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 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Plumbing
.....,.< ,,,,.n...
PROPOSED IMPROVEMENT LOCATION:
Address: 153 NE PRIMA VISTA BLVD - PORT ST, LUCIE, FL 34983
Legal Description: RIVER PARK -UNIT 5 BLK 43 LOT 25 (MAP 34/28N) (OR 314-857: 811-1903).
Property Tax ID #: 3419-540-0025-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 25
Block No. 43
I DETAILED DESCRIPTION OF WORK: 11
REPLACED FAILED NATURAL GAS WATER HEATER LOCATED IN LAUNDRY ROOM.
I CONSTRUCTION INFORMATION: III
Piping
:rs LJ Generator
SFt. of First Floor: _
Utilities:115ewer 1:1Septic
Windows/Doors
Roof
Building Height:
0 W N ER/LESSEE;
L�Gas
Tank
IIL�JIHVAC
L jElectric
❑✓_Plumbing
Company: Benjamin Franklin Plumbing
City. Port St Lucie State:FL
Zip Code: 34983 Fax: n/a
Phone No. 772-878-8126
Address: 1631 SW South Macmdo Blvd
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
Total Sq. Ft of Construction: _
Cost of Construction:
$ 1750.00
Piping
:rs LJ Generator
SFt. of First Floor: _
Utilities:115ewer 1:1Septic
Windows/Doors
Roof
Building Height:
0 W N ER/LESSEE;
CONTRACTOR:
Name Angela M. JONES
Name: Robert W. LUDLUM
Address: 153 NE Prima Vista Blvd
Company: Benjamin Franklin Plumbing
City. Port St Lucie State:FL
Zip Code: 34983 Fax: n/a
Phone No. 772-878-8126
Address: 1631 SW South Macmdo 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.mm
State or County License: CFC1426801
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 11
DESIGNER/ ENGINEER:
_Not Applicable
MORTGAGE COMPANY:
_Not Applicable
Name:
VEGETATION
SEATURTLE
Name:
Address:
REVIEW
REVIEW
Address:
REVIEW
City:
State:_
DATE
City:
State:
Zip: Phone:
Zip: Phone:
COMPLETE
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
INITIALS
Name:
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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 end to obtain financing, consult with lende�pr an attorney before
commerinine work or recor r Notice of Commencements- ///
_ Signature of Owner/ Lessek/Agent oignature or Lontraetor/License nolaer
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF t1t R�- COUNTY OF Sh.,
The for�PPoing instru,?�ent was acknowledged before me The forgoing instrument was acknowledged before me
this�W' of tel. w�- .20 Li.—by thisJOI-day ofQT 20 Eby
Rob-er+4_t,&L,_R.t Qtber-f Lu Ai L, Rn
(Name of person acknowledging) (Nam' a of person acknowledging I
�.i10Y1/ia hY1fMd�
(Signature of otaryl// lic- to of Florida I (Signature of Notary lic- St a of Florida
�
Personally Known L OR Produced Identification Personally Known G OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
IV.Y CSInh+ISsioN f, E=854297
Revised 07/15!2014
Commission No.
RHONDA LAFFERTY
+7 i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
•Smith® Residential Gas
Water Heaters
ATMOSPHERIC VENT
INTELLIGENT CONTROL LOGIC'
• The internal microprocessor provides
enhanced operating parameters and tighter
differentials for precise sensing and faster
heating response to rightful performance.
• Uses a thermopile to generate the power
needed to operate the electronic gas control
without requiring an external power source.
• The electronic gas control incorporates an
LED status indicator that monitors system
operation and service diagnostics.
• 'Not available on 60,000 BTU input models
(GCRX-50 and GCRX-55).
GREEN CHOICE- GAS BURNER
• Patented eco -friendly burner design reduces
NOx emissions by up to 33% and complies
with Low-NOx emission requirements of less
than 40 Poll.
DYNACLEANr" DIFFUSER DIP TUBE
• Reduces lime and Sediment buildup and
maximizes hot water output. Made from
long-lasting REX cross-linked polymer.
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.
PUSH-BUTTON PIEZO IGNITOR
• Makes lighting the pilot fast and easy with
one -hand push-button spark ignition.
HEATTRAP NIPPLES
• Factory -installed for faster installation.
BLUE DIAMOND• GLASS COATING
• Provides superior corrosion 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 fitting that
allows for fast and easy draining during
maintenance.
• Designed for easy operation, this valve
includes an integral screwdriver slat that
features a 1/4 turn (open/close) radius, which
not only permits full straight -through water
flow but also a quick and positive shut off.
CODE COMPLIANCE
• Meets UBC CEC and HUD National Codes.
• Meets the thermal efficiency and standby
loss requirements of the U. S. Department of
Energy and current edition of ASHRAEAENSA
90.1.
• Complies varth the Federal Energy
Conservation Standards effective April 16,
2015, in accordance with the Energy Policy
and Conservation Act, (EPCA), as amended.
HIGH ENERGY FACTORS
• Eco -Friendly non -CFC foam insulation,
external heat traps and specially designed
Combustion chamber combine to produce a
high Energy Factor for maximum savings on
operating costs.
CSA CERTIFIED AND ASME RATED TRIP
RELIEF VALVE
MAXIMUM HYDROSTATIC WORKING
PRESSURE 150 PSI
DESIGN -CERTIFIED BY CSA
INTERNATIONAL
• Certified at 300 PSI test pressure and 150
PSI working pressure. Listed according to
ANSI 221.10.1 -CSA 4.1 standards governing
storage tank -type gas water heaters
6 -YEAR LIMITED TANK AND PARTS
WARRANTY
• For complete information, consult written
warranty or go to horwatecmm
SAn � �Crholrr
an Ni 20ISA 0. Smith Corporation, All rights resewid. Page I of 2
weenhotwate[mm 1800 527 1953 Toll -Free USA l A- 05mirh Corporation 1501) Tennessee Warta Padwry, l AfbWM City TX 37015 A0511W70010
(Cesmim
Residential Gas
Water Heaters
Model Number
Capacity
First
Rating
Gallon
Fa<toY
B U Input
Natural
Gas
BTD Input
Propane
Gas
Hemvery SE
Can icer
Hour
Dimensions
In Inches
ppprox.
Shipping
weight llbs)
p
B
C
D
E
F
•G
•H
Draft
Hood
Tall Models
tGCB-30
64
063
35,500
32,000
37N58-11420
58
'6
12-114
8
51314
NIA
NIA
3or4
123
GCR-30
67
0.63
35,500
32,000141
58
18
12-114
8
51-314
NIA
NIA
3 aro
132
4GCRH-4067
062
35,500
NIA
58-114
20
12-114
8
52
NIA
NIA
3m4
138
♦GCB -40
70
0,62
40,000
36,000
58-114
18
12-114
8
52
NIA
NIA
3 oro
130
GCR-40•
N40
70
0.62
40,000
36,000
58-114
20
12-114
8
52
14-114
51314
3 or4
138
GCG-50•
88
0.60
40,000
37,000
57-114
21
12114
8
50112
14114
50-112
3 or4
148
GCR-50'
88
0.62
40,000
37,000
57-114
22
12-114
8
50-112
14-114
50-112
3 or4
165
GCRT-50•
92
0.60
50,000
45,000
57-114
22
12-114
8
50-112
14-114
50-112
4
165
IGCR%-50•
50
98
0.60
60,000
54,000
61
22
13-112
8
54-114
14-114
54-114
4
182
GCRR-55•
55
106
0.59
60,000
54,0004
55-IIO
24
13-112
8
48
14-114
48
4
185
Short Models
-
tGCBL-30
30
56
0.63
35,500
32,000
37
50
46 112
18
12
8
40
NIA
NIA
3or4
110
GOL-30
30
62
0.63
35,500
32.000
37
50
46112
20
12
8
40
NIA
NIA
3or4
118
lGCBLiO
40
67
0.62
40,000
36,000
41
51-I12
48
20
12
8
41414
NIA
NIA
3or4
134
GCRLiO
40
68
0.62
40,000
36,000
41
51-112
48
22
12
8
41413
NIA
NIA
3or4
135
GCRL-50
50
93
0.60
40,000
40,000
43
53-114
49-314
24
12
8
41318
NIA
NIA
3 or
177
Becwery upaeitie, based on actual Pedwmanmests.
Weer connection is 314' on all models
fibrotic hup with supplied insulation blanks.
For 1l tank and 6,aar pans vnnant, change 'G"to 'Y' In model number (example ZCR30).
ilP models not available on GCRHdO.
4or rpbonal seserroumed houpolming fork, add'C to the waw(income: GCRdat).
All models approved for insulation from sea level to l o, tact It devotion.
gimemiom and so,anoaum Subject on man, skimat node, In accordance enfh our pnlin of commurve product Imprwemem.
FLAMMABLE VAPOR IGNITION RESISTANT (FVIR) WATER HEATERS
A. 0. 5r th FVIR design meets the American National Standards Institute standards
(ANSIZ21.10.1-CSA 4.1) that deal with the accidental or unintended ignition of flammable
vapors, such as those emitted by gasoline.
Features a sealed combustion chamber with intake air filter and a flame arrestor built into the
water heater base. In addhon, a thermal cutoff (TCO) device, is designed to shut off gas flow
to the burner and pilot if poor combustion is detected.
ANODEROD
(OPTIONALIOCATION)
HOT
CONNECTION
ON rODE OUTLET
an MODELS) O a
COm
CONNECTION
E
Maximum Hydrostatic Working Pressure: 150 PSI
For technical information call 800-527-1953. A.0. Smith Corporation reserves the night to make product changes or improvements without prior notice.