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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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address:" 1l) Z Legal Description: 3 Property Tax ID #:333L] - 501- 0A(o- OOd - 3 Lot No.�� Site Plan Name: Block No. Project Name: Q* 1(] IYIP<,, Setbacks Front Back: Right Side: Left Side: �iepl�zce eXiSti i � 50 c�all�n ekfil�i�, uale( hEs�le� lvia-4) Same,. CONSTRUCTION INFORMATION: Additional work to be nertormed under tis permit check all appy: HVAC Gas Tank Gas Piping _ Shutters Windows Doors Electric � Plumbing Sprinklers Li Generator E]Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ IU`� B 3(D Utilities:cnSewer OSeptic Building Height: OWN ER/LESSEE: CONTRACTOR: Name ( Yn 1- Name: Addrs:Q 1,kde,Company: City: State: F(_. Zip Code-�(0 Fax: Phone No. ­1 _�a' Q • (Cacna Address: N S f City: ( State:�L � Zip Code: 3 (� Fax: B--Iq 1— 1$S3 Phone NI E -Mail: I I e E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License:�j nT value oT construction is :>Lsuu or more, a KhCUKuto Notice of Commencement is required. 3 . h-ticie C 00,C)�� SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 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 accessoryuses 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 o_pft-jmrding your Notice of Commencement. Rev. 8/2/17 1111atu te ofA.wn r/ L s e/Contractor as Agent for Owner Signature C ntract r/License Holde STATE OF FL RIDA P COUNTY OF Q1ril��lcFl COUNTSTATE OY OF?QIm� e^ I^ ,J � I The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me _,'5aV'1UQM this 30 day of SQnUQVU 20 I�-j by this W day of 20lq by Kevin N\1um Yleyin G111ynn Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification TypeIdentification Produced _ Pro c6 to t Signature of otary ublic-State of Florida ('nature of otary P blit- State of Florida ) 4j3�Y•?f!A" A"J A DIFRANC4 Commission No. jj Commission No."��"` A''I�=Ea9IFR�iNCG1 _ = hliY C M�.��A1SSION /t FF931851 .I'. EXPIRES January 24, 2020 MY COMMISSION 4 FF931851 EXPIRES January W01) 398•Qt53 Roodallow Seme. com aMa p 24, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONSEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 00 A.: %4 Q7, N Q - � 2p T -H a $�C'�i W � N p , �! U oLli 1, Uj �F O a ❑ 0 O ¢Co O¢O z ❑ i. n S < v (� � ii ' o W ❑ ❑ w ivf � ` y O w � 2 N W z Q w = flS; 0w mQ ¢ m S O ®a a U F a �a w aW U o }U tea❑ ¢ v L La A.: %4 N - � 2p a 4 Ki N p , �! U Co 0 _© ivf O ` y � 2 N W Z Q U OS ®li I `� "067 h V Z Co f� CV pZq LL LIJ � ysL.0 (} z v d 0 00 z a U w i CL i r A�# ' Ii Ad we� RI r � •.l q � Lo Ki N , �! U Co 0 THE TEMPERATURE HA g;, o FnwNER c„ :VLIN OF M tomer,Signature oCf q �te! ai For service call 561-791-2228 i P-HUDUE, t 'a` ~z o Y W O > U�p-0 w7zO�U °0000~ wp-H3 Z zz O ¢ ¢ U2 ~ J Z W w Co N Y O� �W7iUj ¢¢¢wwwCD SS�� O¢aF=z `^a pppUN a w0aWp¢ r °O tr Cw7 U In Jz W 71:1 ¢ w w Q Aft J °-p0¢° 322 02 €-o azz� O Z x a ° ¢ opwWw¢ �¢2=O ¢: Wm.¢ :0`.. OLLz>- Ww C; as = w tia UU¢U70 ¢z¢z¢¢ OwpOO - LL i U) F. LL t, -t z z -z0 E WW��OZ Q"e d OUOOHO ,]6 ~ 5); 0, ,C a` w cc Zo S E -2N w2W Jt o(+ U¢Z,U¢ s zaoU--Iw HAW o (wr ro 0'-- � ¢ wz J J C) }m¢<¢�z apw'o a� J 033: w�_¢w C i W�awa�d m (D W ¢ J ] ¢H C70m¢ i < Z U Z} F_ N a �Z_mF-z 7 m g W �c7pmaz j O m a z W LL I NpgwO¢Z � °�JWUOa W } W ¢ _ a\? >wwm=aW ro ¢I=-ULLQ~w� s'C+ Lz00 O°a=ow} f~0 (D W W a. 'T � �nJ.pzpQa O 0) wmWwP:6w< IV a a 'W' a o N tC+tl ogaHCnzQ H 0V WWW2:ZOF,o Q t�¢�a° at LU¢z¢d:¢w� p f- {-a a¢°¢O ° W 2 U WP cn ¢ :Ew a d z Y W ¢ m >O ¢ LL w O� ZU wp Z Q a z ° Z W W Z J W Q-0 w') ¢a �w N ¢ 2 OU ¢Q ¢a w0 Z F- 3: Ow I= Q ° Q Q _© ivf O ` y � 2 N W Z Q U OS ®li I `� "067 JQUQl--OZ THE TEMPERATURE HA g;, o FnwNER c„ :VLIN OF M tomer,Signature oCf q �te! ai For service call 561-791-2228 i P-HUDUE, t 'a` ~z o Y W O > U�p-0 w7zO�U °0000~ wp-H3 Z zz O ¢ ¢ U2 ~ J Z W w Co N Y O� �W7iUj ¢¢¢wwwCD SS�� O¢aF=z `^a pppUN a w0aWp¢ r °O tr Cw7 U In Jz W 71:1 ¢ w w Q Aft J °-p0¢° 322 02 €-o azz� O Z x a ° ¢ opwWw¢ �¢2=O ¢: Wm.¢ :0`.. OLLz>- Ww C; as = w tia UU¢U70 ¢z¢z¢¢ OwpOO - LL i U) F. LL t, -t z z -z0 E WW��OZ Q"e d OUOOHO ,]6 ~ 5); 0, ,C a` w cc Zo S E -2N w2W Jt o(+ U¢Z,U¢ s zaoU--Iw HAW o (wr ro 0'-- � ¢ wz J J C) }m¢<¢�z apw'o a� J 033: w�_¢w C i W�awa�d m (D W ¢ J ] ¢H C70m¢ i < Z U Z} F_ N a �Z_mF-z 7 m g W �c7pmaz j O m a z W LL I NpgwO¢Z � °�JWUOa W } W ¢ _ a\? >wwm=aW ro ¢I=-ULLQ~w� s'C+ Lz00 O°a=ow} f~0 (D W W a. 'T � �nJ.pzpQa O 0) wmWwP:6w< IV a a 'W' a o N tC+tl ogaHCnzQ H 0V WWW2:ZOF,o Q t�¢�a° at LU¢z¢d:¢w� p f- {-a a¢°¢O ° W 2 U WP cn ¢ :Ew a d z Y W ¢ m >O ¢ LL w O� ZU wp Z Q a z ° Z W W Z J W Q-0 w') ¢a �w N ¢ 2 OU ¢Q ¢a w0 Z F- 3: Ow I= Q ° Q Q 6 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Ownership Purney W Raines Patricia S Raines 9108 Short Chip CIR Port Saint Lucie, FL 34986 Legal Description LAKES AT PGA VILLAGE (PB 43-32) BLK D LOT 58 (OR 3940-544) Current Values Property Identification Site Address: 9108 Short Chip CIR Parcel ID: 3334-501-0196-000-3 Account #: 155028 Map ID: 33/34N Use Type: 0100 Zoning: PUD City/County: 'Saint Lucie County Ownership Purney W Raines Patricia S Raines 9108 Short Chip CIR Port Saint Lucie, FL 34986 Legal Description LAKES AT PGA VILLAGE (PB 43-32) BLK D LOT 58 (OR 3940-544) Current Values Just/Market Value: $232,000 Assessed Value: $227,376 Exemptions: $50,000 Taxable Value: $177,376 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Page 1 of 1 Total Areas Finished/Under Air 2,128 (SF): Gross Area (SF): 2,898 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. 0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. an�er�car� A —3090" W A T E R H E A T E R S STANDARD ENHANCED HEATING ELEMENTS • Dual 4500 watt elements for faster recovery and reliable operation.* • Incoloy stainless steel lower element lasts longer than a standard copper element. SELF-CLEANING 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-ANODEROD • 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 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 slot that features a 1/a turn (open/close) radius, which not only permits full straight -through water flow but also a quick and positive shut off. Residential Electric Water Heaters . CODE COMPLIANCE • Meets UBC, and ICC National Code 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 T$P 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 LIMITED PARTS WARRANTY • For complete information, consult written warranty or go to ameri canwaterheater. com. 'Model E6N 20L has a single element. GO - Page 1 of 2 www.americanwaterheater.com or call (800) 999-9515 1 Copyright 0 by American® Water Heaters November 2016. Al rights reserved. NRESS00315 APOM-50am" a`» e"can 0 W A T E R H E A T E R S Residential Electric Water Heaters Model Number Gallon Capacity First Hour Rating Gallon Energy Factor Recovery 90°F Rise Gay" Per Hour Element Wattage 240V Dimensions in Inches Approx. Ship rn pP 9 Weight (ibs) Standard Maximum A B C 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-30LB* 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 4500 6000 32 24 24 118 tE6N-50LB* 48 57 0.95 21 4500 1 6000 1 34 25-126-1/2 1 172 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 "l 0" in the model number (example: E1 QN-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 #3 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 El ON -501-B. Dimensions and specifications are subject to change without notice in accordance with our policy of continuous product improvement. T&P VALVE ACCESS PANEL ACCESS PANEL DRAIN VALVE 1 ANODE (OR OPTIONAL TOPT&P LOCATION #1) OPTIONAL TOP T&P LOCATION #3 t O O OPTIONAL TOP T&P LOCATION #2 C O o O JUNCTION BOX l° T&P 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 (FEDD(, UPS), Johnson City, TN 37601-2030 Page 2 of 2 P.O. Box 1597 (Mailing), Johnson City, TN 37605-1597 NRESS00315