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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Datp: 6/29/20 Ll ilk - Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: MECHANICAL PROPOSED IMPROVEMENT LOCATION: . AAnF DAI Cn olKlco `+ -- -aaw caa. - --- . , - ..— vn X%1 Property Tax ID #: 1312-801-0126-000-9 Site Plan Name: SAMUELS Project Name: SAMUELS DETAILED DESCRIPTION OF WORK: Permit Number: Building Permit Application Commercial Residential X REPLACE AC, LIKE FOR LIKE, 3 TON, 14 SEER RUUD RA1436AJ1 NA, RH1 P3617STANJA, 10 KW I CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical — Gas Tank _ Gas Piping Shutters _ Electric — Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5200.00 _ Generator Sq. Ft. of First Floor: Lot No. 323 Block No. _ Windows/Doors Roof Pitch Utilities: _ Sewer Septic Buildinr, Haiaht- OWNER/LESSEE: CONTRACTOR: Name DWIGHT SAMUELS Name: JOHN PANKRAZ Address: 480�PALEO PINES CIRCLE Company: ELITE ELECTRIC AND AIR City: FORT PIERCE State: _1:1— Zip Code: 34951 Fax: Phone No. 954-261-3651 Address: 1691 SW SOUTH MACEDO BLVD City: PORT ST LUCIE y State: FL Zip Code: 34984 Fax: 772-340-3702 Phone No 772-340-3797 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is 52500 or mnrp a RFr'rlwncn nl.,+:,.,. ,.c �_.—__ E-Mail PERMIT@ELITEELECTRICANDAIR.COM State or County License CAC1816433 _-_ _ _ cucua � Icqulfuu. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X_ Not Applicable MORTGAGE COMPANY: Name: _Not Applicable Address: Name: City: Address: State: City: State: Zip: Phone 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 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 Own / Lessee/Contractor as Agent for Owner Signature of Contrac icense Holder STATE OF FLORIDA COUNTY OF sr LUC!E STATE OF FLORIDA COUNTY OF sr wc!E The forgoing instrument was acknowledged before me this 29 The forgoing instrument was acknowledged before day of JUNE 20_ by me this 29 day of JUNE 20 b —. Y Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Type of Identification Personally Known X OR Produced Identification Produced Type of Identification Produced KONNI LENAE DEWITT Notary Public — State of Florida trsY r6 (, KONNI LENAE QEWI?T ; 1� * =_ Notary Public — State of Florida m w ,I'll^iQ. « Commission # GG 166915 (Signature of NotaryPubl =; "" Fi�rt$i�� �. Expires Dec 10, 2l)21 e ; (Signature of Notary Publ' - St�,i�f Fhi���o„ `_ ••,,,,,,••• Bonded throuyh National Notary Assn. Commission No. GG166915 �"�""'4� , ro �,I Na!ional Nola Assn. a Commission No. GG166915 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE REVIEW RECEIVED DATE COMPLETED Rev. 2 7 1 AHM CERTIFIED° www.ahridirectory.org Certificate of Product Ratinqs AHRI Certified Reference Number: 201184297 Date : 01-23-2020 Old AHRI Reference Number: 7499174 AHRI Type: RCU-A-CB Outdoor Unit Brand Name : RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier) : RH1 P3617STAN Model Status : Active Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 region(s) for which they meet the regional efficiency requirement. The manufacturer of this RUUD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & 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 : 34000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 selling or offering for sale. are those that an AHRI Certification Program Participant is no longer producing BUT is still DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility 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 www.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 whole or in part, be reproduced; copied; disseminated; f1 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.abridirectory.org, click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.: 132242817625587851 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 4805 PALED Parcel ID: 1312-801-0126- Account #: 4567 Sec/Town/Range: 13/34S/39E PINES CIR 000-9 Map ID: 13/13N Zoning: RS-4 Count Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Bryant James Kelly HOLIDAY PINES S/D-PHASE II-B- LOT 323 (MAP 13/13N) Casey J Kelly 4805 Paleo Pines CIR Fort Pierce, FL 34951 Current Values Historical Values 3-year Just/Market: $141,700 Assessed: $120,139 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $70,139 2019 $141,700 $120,139 $50,000 $70,139 2018 $128,100 2017 $119,100 $117,899 $50,000 $115,475 $50,000 $67,899 $65,475 Date 10-14-2019 10-12-2015 02-04-2015 View: Year Built: 1981 Primary Wall: Frm Stucco Bedrooms: 3 Full Baths: 2 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor Price 4336 / 1397 0111 QC Kell Bryant J 3799 / 2251 0112 SP $55,700 Federal National Mortgage 3716 / 1554 0111 QC Green Tree Servicing LLC Assc $122,500 $100 Primary Building Information Finished Area of this building: 1,360 SF Gross Sketched Area: 2,784 SF Exterior Data Roof Cover: Dim Shingle Roof Structure: Gable Building Type: HC Frame: Grade: C Effective Year: 1981 Story Height: 1 Story No. Units: 1 Secondary Wall: Interior Data A/C %: 100% Electric: MAXIMUM Primary Int Wall: Heated %: 100% Heat Type: FrcdHotAir Avg Hgt/Floor: 0 Sprinkled %: 0% Heat Fuel: ELEC Primary Floors: Carpet Total Areas Finished/UnderAir 1,360 (SF): Gross Sketched Area 2,784 (SF): Land Size (acres): 0.24 Land Size (SF): 10,500 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt Driv-Concret 1 720 1981 RES POOLAVG 1 180 1995 POOL DK-AVG 1 370 1995 POOL ENC-AVG 1 550 1995 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.