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Permit Application
ALL 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 V_/ Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: 1 Address: qQY �f 0f L A) (2 A Gi Lucie FL 3UaB(D Legal Description: Property Tax ID#: 333y-501-Cqa- 000-S Lot No. Site Plan Name:; �^ 1 Block No. Project Name: I1�1L1 G LS.lSjle IRi ��]Y1 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: '_Re trace o_l\crn e cctt'c. wade � heea-Ae r Lj �A" Same CONSTRUCTION INFORMATION: Additional work to be oerformed under t is permit—check all apply: 1_1HVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ I Ogg y 3 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name —m-laCE Cnssand(a 0Si Name: Address: 1gOy� Sr IO�T ��1` IfC�P Company: City__1RL SV �..LAC1-E State:-a— Address: S 0. Zip Code:3q g(C) Fax: City: State: Phone No.9V0_gCj— q 31d Zip Code: Fax:5(0lI-J CJJ- 12S3 E-Mail: Phone No.5J(OI-1Q 1-aao-1g Fill in fee simple Title Holder on next page (if different E-Mail: C e e from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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 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 our Notice of Commencement. 1 C V` Signatur f wner/Less Contractor as Agent for Owner Signat Fe of Contr for/License Ho der STATE OF FLORIDA 1 STATE OF FLORIDA COUNTY OF QCX\CY-) 1 CCLCI'1 COUNTY OF fQQ\m 60aCh The forgoing instrument was acknowledged before me The for ping instrument was acknowledged before me this L day ofSQ——1 1 i ,20 JCJ by this LA day of_�pi Yl A 20A by 1`l evin -, i yr'r% Y1 ev io i llurv, Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced ,Z.-44- 0 (Signature of Notary Public-State of FlorP S.�QvOpP (Signature of Notary I Public-State of Florida)O O\�� oFF Commission No. Y ASS, ( (� 10��69�9 Commission No. f - Q i ��{AS t(" '0tiF1119�2 r"' c��JSNF �n� 6 C'e dey2 REVIEWS FRONT ZA1G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 c*l! (\j n� o � o = o o Lu (Y) ❑ OU in ¢ z oCY) ~ ax aJ t' ii U w ¢ o¢c a i cn `� 1 o f � z a -� � LD D � Z 3 z 00 � kDo z y. �"' w U won: 0- ¢ ¢ ozU-i l Z 0 �' �' ~ LU pv w o F a cc T on a o a u� M 0,'z O d Cizo 0 Y W F }W w2U SU 00'In dl A (L o0000� ! t5 N wo0Hu) �QH0 O2 w U OLLaa WFz OUu" A • wrnQWO¢ i W'0 Iwo wo CUj (n �� p QO1 p \ ` wQ�7Qaz `.. • 5 ® LL�'u)¢ z r--wl- O z W W W¢ P1 � J �`t 6O(n¢Zo a by9 � ('J "1'I a 2 W m cc w i til L � � � �a�x0°C '.r co _ zw�03 ,\ ,- wmU0az0 \ Z uiroo�� �m1 c�v co ^_� ` aaZ) w=Ww 1 a a t� ��11 �i� �� UZ-QU�¢ W 1 N W W ¢Z¢z 0 0" � � NroYppLL z ¢ U w ❑ m1� O�zazO rO E{�.J ww¢zOz7 U co U -- � cm moo � � Y `• °CROoo°-°-�. •' U w �m N m J m—JJ r0. �� ...�� .m p w ca 0a w W co N �� v C1 Q}¢Q¢QZ 0cc o ~ �3 u W 00D z LLw y G y aFw�rypma <IL Zw U O W Qjzm~ZOO wQ \ ¢�C7�maO ra ®p y t 2QZCNILL >Z ( V' 0 Dg�iaFa F� w �,,, U X d Y w OZ U W Z }J w¢= w j ww -ww a0 m O }o t LL W O W W Pll ! _ +' Opp.�O } N Cry 1+ wm mZ W y m aQ}OoWZU.,m� N� 7F¢-) }Q �j Qw a�a¢ W wa 0 jaUp Op oOww - c zw o° 3U LLJ z a ��WFza�3 �a JOOar-Oz V 1 T! w a?Q Q o¢O a¢ M JL N 0r:. j * ` R ..,,1 . �y Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:9048 Short Chip CIR Parcel ID:3334-501-0192-000-5 Sec/Town/Range:34/36S/39E Account#:155024 Map ID:33/34N Use Type:0100 Zoning:PUD Jurisdiction:Saint Lucie County Ownership Cassandra Osio - " Sandra I Brown Tomas B Osio .� 9048 Short Chip Cir Port St Lucie,FL 34986 Legal Description LAKES AT PGA VILLAGE(PB 43-32)BLK D LOT 54(OR 2446-2178) w Current Values s 5 -; Just/Market Value: $211,200 ----------- � Assessed Value: $161,207 xx �` Exemptions: $50,000 Taxable Value: $111,207 Total Areas Taxes for this parcel: SLC Tax Collector's Office Finished/Under Air(SF): 2,086 Download TRIM for this parcel:Download PDF Gross Area(SF): 2,856 Land Size(acres): 0.16 Land Size(SF): 6,970 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved. https://www.pasle.org/RECard/ 12/26/2018 Residential Electric Water Heaters W A T E R H E A T E R S - �i,�.. a.'"�`'�G� �///��/�/,!O of„y✓� ,/._ _- tr/6�, i�,,�/ ....,�p .:., .,. ,,, ;' .�,,oj`N;; "! /,Y.n3, ;; "' .,,__f u �,.,b'" STANDARD ENHANCED HEATING CODE COMPLIANCE ELEMENTS •Meets UBC, and [CC National •Dual 4500 watt elements for faster Code and listed with CEC. A 'y recovery and reliable operation. .Complies with the Federal EnergyIs •Incoloy stainless steel lower Conservation Standards effective �. element lasts longer than a April 16, 2015, in accordance standard copper element. with the Energy Policy and s SELF-CLEANING DIP TUBE Conservation Act(EPCA), as yE •Helps reduce lime and sediment amended. y s buildup and maximizes hot water APPROVED FOR 3 ' output. Made from long-lasting MANUFACTURED HOUSING.. PEX cross-linked polymer. •All residential electric water HIGH ENERGY FACTORS heaters are compliant with HUD " •Eco-friendly non-CFC foam standards for mobile homes/ !, insulation, heat traps and other manufactured housing. features combine to yield a higher CERTIFIED TO UL 174 FOR s Energy Factor that maximizes HOUSEHOLD ELECTRIC WATER savings on operating costs. HEATERS COREGARD"ANODE ROD CSA CERTIFIED AND ASME a •Our anode rods have a stainless RATED T&P RELIEF VALVE steel core that extends the life of DESIGN-LISTED BY a the anode rod allowing superior UNDERWRITERS tank protection far longer than LABORATORIES standard anode rods. *Certified at 300 psi test pressure BLUE DIAMOND®GLASS and 150 psi working pressure. 3 F COATING •Listed according to UL 174 •Provides superior corrosion standards governing storage resistance compared to industry- tank-type electric water heaters. ' _ standard glass lining. ENHANCED-FLOW BRASS 6-YEAR LIMITED TANK LIMITED PARTS WARRANTY DRAIN VALVE ' •For complete information, consult •Our residential water heaters have written warranty or go to " a solid brass, tamper resistant, americanwaterheater.com. enhanced-flow, ball type, drain � f valve. h" •Uses a standard female hose fitting that allows for fast and easy draining during maintenance. 1 •Designed for easy operation, this valve includes an integral screwdriver slot that features a t/a �® turn(open/close)radius, which not L only permits full straight-through water flow but also a quick and Model E6N 20L has a single element. positive shut off. Page 1 of 2 www.americanwaterheater.com or call(800)999-9515 1 Copyright 0 by American'Water Heaters November 2016.All rights reserved. NRESS00315 Apo-" -50302ER Residential Electric "I"a /CavArT Water Heaters W A T E R H E A T E R S First Hour Recovery @ 90°F Element Wattage 240V Dimensions in Inches Approx. Model Gallon Rating Energy Rise Gallon Per Shipping Number Capacity Gallon Factor Hour Standard Maximum A' B C Weight(Ibs) Tall Models tE6N-30H 30 47 0.95 21 4500 6000 46-1/2 39-1/2 19 95 tE6N-40H 40 51 0.95 21 4500 6000 60-1/4 53-1/4 20 118 tE6N-50H 50 73 0.95 21 4500 6000 60-1/2 51-1/4 20-1/2 125 tE6N-55H 55 76 0.94 21 4500 6000 56-1/2 48-1/2 24 145 Short Models E6N-30RB* 30 48 0.95 21 4500 6000 39 30-1/2 20 95 tE6N-30R 30 49 0.95 21 4500 6000 39-3/4 30-1/2 22 94 tE6N-40R 40 55 0.95 21 4500 6000 49-3/4 40-3/4 20-1/2 109 tE6N-50R 50 62 0.95 21 4500 6000 49-1/4 40-3/8 23 161 Lowboy Top Connect Models E6N-20L 19.5 N/A N/A 21 4500 6000 30 21-1/4 20 65 E6N-301_6* 28 40 0.95 21 4500 6000 30 21-3/4 20 90 tE6N-30L 28 43 0.95 21 4500 6000 31-1/4 21-3/4 24 115 E6N-40LB* 38 44 0.95 21 4500 6000 32 24 23 118 tE6N-36L 36 46 0.95 21 1 4500 6000 32 24 24 118 tE6N-50LB* 48 57 0.95 21 4500 6000 1 34 25 26-1/2 172 3/4"water connections on 8"center. -Models ship with supplied insulation blanket. t For 10-year tank and 6-year parts limited warranty,change"6"to"10"in the model number(example:E10N-40H). E6N 20L is a single element configuration only. Optional top T&P location##2 is used on E6N-50H,E6N-55H,E6N-40R and E6N-50R. Optional top T&P location#t3 is used on E6N-50LB,E6N-30L,E6N-30LB,E6N-40LB and E6N-36L. Top T&P is not available on the 10 year model E10N-50LB. Dimensions and specifications are subject to change without notice in accordance with our policy of continuous product improvement. ANODE (OR OPTIONAL T&P VALVE TOP T&P LOCATION #1) ACCESS OPTIONAL TOP T&P PANEL LOCATION #3 t OPTIONAL TOP T&P ° LOCATION#2 C B A C 0 0 0 JUNCTION BOX 1 ° T&P VALVE ACCESS PANEL DRAIN VALVE For technical information call(800)999-9515.American Water Heaters reserves the right to make product changes or improvements without prior notice. American Water Heaters 1 500 Princeton Road(FEDEX,UPS),Johnson City,TN 37601-2030 Page 2 of 2 P.O.Box 1597(Mailing),Johnson City,TN 37605-1597 NRESS00315