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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r),t-,. 7/12/19 x. }' Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 Permit Number: Building Permit Application Commercial PERMIT TYPE:MECHANICAL f�ROPOSED IMPROVEMENT LOCATION: Address: 13207 SOUTH INDIAN RIVER DRIVE, BUILDING #1 Property Tax ID #: 4509-120-0012-000-0 Site Plan Name: ROLLINS Project Name: ROLLINS Residential x Lot No. Block No. DETAILED DESCRIPTION OF WORK: " REPLACE AC, LIKE FOR LIKE, AC installation of 2 ton, 20 Seer Lennox inverter XC20-024-230-5, CBA38MV-018-024, 8 kw CONSTRUCTION INFORMATION: Additional work to be performed under this permit– check all that apply: XMechanical _ Gas Tank — Gas Piping Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 10.164.00 Generator Sq. Ft. of First Floor: Utilities: Sewer `Septic OWNERAESSEE: CON NameAUDRY OLLINS Nam( Address: 13207 S INDIAN RIVER DRIVE ComE City. JENSEN BEACH State; Addr( Zip Code: 34957 Fax:—City: Phone No. 772-418-7636 _ Zip Ct E -Mail: Phon( Fill in fee simple Title Halder on next page ( if different E -Mai from the Owner listed above) State Windows/Doors — Roof Pitch Building Height: TRACTOR: JOHN PANKRAZ any, ELITE ELECTRIC AND AIR ss: 1691 SW SOUTH MACEDO BLVD 'ORT ST LUCIE State; FL de: 34984 Fax: 772-340-3702 No 772-340-3797 PERM IT@ELITEELECTRICANDAIR.COM )r County LicenseCAC1816433 If value of construction is $2500 or more, a RECORDED Notice o#Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not ApplicableMORTGAGE COMPANY: Name: Name: Address: Address: City: State: City: Zip: Phone Zip: Phone: Not Applicable State: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIOVIT: 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 Horne 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/- see/Contractor as Agent for Owner Signature of Contractor ' nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFsT LUCIE COUNTY OFsT LucFE The forgoing instrument was acknowledged before me this l% "TuL'i The forgoing instrument was acknowledged before day of 20 1'i by me this (21liday o€ SL)L V 201 � by JOHN PANKRAZ JOHN PANKkAZ Name of person making statement. Name of person making statement. Personally Known k. OR Produced Identification Type of Identification Personal) Known y OR Produced Identification Produced Type of Identification Produced KGNNI LENAE DEWITT ,�. Notary Public— 51ate of Florida '«rKV,,,, K©NNI LENAE DEWITT " Commission # GG 156915 • ° I %�_r = z+ , ._ Notary Public —Stale of Florida s Dec 10, 2p21 (Signature of Nota P blic� Notary o�oi4Jmmird�r,)Nati���i NolaryAssn CommissEon # GG 166815 . - (Signature of Notary Pu IiC_. bf .,, ,• ' �i��l�i�Jh N2liontd NularyAss'n, Commission No. {�G + �6 i (Seal) � Commission No. C & I LC IJ: c i < � (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW PLANS VEGETATION SEA TURTLE MANGROVE DATE REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED eV. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 13207 INDIAN Parcel ID: 4509-120-0012- Account 4: 122905 RIVER DR See/Town/Range: 09/37S/41E 000-0 Map ID: 45/09N Zoning: RE -2 Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal description Audry Rollins 9 37 41 BEGAT PT ON WLY R/W OF IND RIV DR 1420 FT 13207 S Indian River DR SLY OF N BDRY OF SEC 9, TH RUN SWLY 150 FT, TH NWLY Jensen Beach, FL 34957 70 FT, TH SWLY 540 FT M/L TO ELY R/W FEC RR, TH SELY ALG SD R/W 305 FT M/L, TH NELY f/ WIT14 N LI AND 300 FT SLY AS MEAS AT RT ANG 495 FT M/L, TH NWLY 70 FT, T14 NELY 240 FT MIL TO WLY BANK OF IND RIV, TH MEANDERING SD RIV NWLY 160 FT M/L TO PT LYG NELY OF POB, TH SWLY 90 FT M/L, TO POB -LESS SR 707- (OR 426-2190 : 1283-1992 : 1283-1999: 1443-1706; 3725-1364; 3734- 1805) ro rias' :S9 Pxt�Y li Ire z, ,o 6 6 B R 1 6 6 6 i1 B,S 5 14®) fi , Fp Total Areas Building Type: HC+ Effective Year: 1945 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Sing Pine Finished/Under Air Current Values Historical Values 3 -year View; Just/Market: Exemptions: $533,500 Assessed: $50,000 Taxable: $374,732 Year JustIMarket Assessed Exemptions Taxable Primary Wall: Hardi Plank Story Height: 2 Story $324,732 2018 $533,500 $374,732 $50,000 $324,732 Interior Data Bedrooms: 2 2017 $446,600 $359,359 2016 $360,300 $344,999 $50,000 $309,359 Heated %: 100% Heat Type: FrcdHotAir Half Baths: 0 $50,000 $294,999 Sale History Date Book/Page Sale Code Deed Grantor 02-27-2015 02-27-2015 3734/18050311 3725 / 1364 QC Rollins Audry Price $0 10-04-2001 1443/1706 0311 XX02 QC Babcock I SaC Mullan arrah $100 $100 Primary Building Information Finished Area of this building: 1,516 SF Gross Sketched Area: 2,452S F ro rias' :S9 Pxt�Y li Ire z, ,o 6 6 B R 1 6 6 6 i1 B,S 5 14®) fi , Fp Total Areas Building Type: HC+ Effective Year: 1945 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Sing Pine Finished/Under Air 2,451 Exterior Data View; Roof Cover: Metal Roof Structure: Gable Year Built: 1901 Frame: Grade: C+ Primary Wall: Hardi Plank Story Height: 2 Story No. Units: I Total Building Count: 2 Interior Data Bedrooms: 2 AIC %: 100% Electric: MAXIMUM Full Baths: 2 Heated %: 100% Heat Type: FrcdHotAir Half Baths: 0 Sprinkled %: 0% Heat Fuel: ELEC ro rias' :S9 Pxt�Y li Ire z, ,o 6 6 B R 1 6 6 6 i1 B,S 5 14®) fi , Fp Total Areas Building Type: HC+ Effective Year: 1945 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Sing Pine Finished/Under Air 2,451 (SF): Gross Sketched Area 6,055 (SF): Land Size (acres): 4.35 Land Size (SF): 189,488 Total Building Count: 2 CERTIFIED001 www.ahridirectofy.org certificate of Product Ratings AHRI Certified Reference Number: 201924774 Date : 07-12-2019 Model Status :Active AHRI Type: RCU-A-CB Series: ELITE XC20 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC20-024-230A`" Indoor Unit Model Number (Evaporator and/or Air Handler): CBA38MV-018/024-230'+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement. The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air-Gonditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) -Single or High Stage (95F), btuh : 24000 SEER: 20.00 EER (A2) - Single or High Stage (95F) : 14.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslb3lity for, the product(s) listed on this Certificate, AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at m w.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whore or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual,�� personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirector or click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. e ssa !<e lite better^ @2019Air-Con ditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.; 11320741`18 6 743 1 23 50