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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �Lt ' � Permit Number: o �- `°' Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial _ Residential _ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: �AC-6- cm - ,%Co-\ PROPOSED IMPROVEMENT LOCATION: Address: IYlatr"'''1 P-4ycg- D(-. C � `> e�C L }-L Property Tax ID#:� 3q,a_L4 Ig ( (5 - 000—mil Lot No. Site Plan Namel-)?--�G.l (1f-, Block No. Project Name:'��C�e n5 a gnc,`Li n DETAILED DESCRIPTION OF WORK: AJC ` D , ) V P Vie:-c-1- Xj . S c;,- _74 Mul-1-1�-NoIjA2 0 MS�ZLW� GqOecO--Ror P5 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: ,mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 7 t `1 -4-Z), "JO Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name C1 Z) Name: -7s-0- -) Address:) U3 5 -Ny1 LnuN e.0 + Company: (_ ►N2 . F e-CA-6 c CkoCk City: T oo' 1?- '1 f- ( Stater- Zip Code: 3q 9 5��- Fax: �I Phone No. -a1;-9-T I 'S Address:.I kA k Spa) Sby)�n VM.LCeC n bvd Cit oct SN . uuc. e_ Zip Code: 3y9 f5H Phone No �,:i-(-iL/0-33gT E-Ma il 'PecA,h&@)e A-Ae&AeCA-6c State:—L Fax:,*q.?-- 3u(�` Obi,_ Gada, c- Lao E-Mail:003 Y .L+ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License Cou �; t ('6 lb If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW DESIGNER/ENGINEER: Name: Not Applicable Address: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: Name: -_ Not Applicable Address: City: Zip: Phone: :013(VIATION: MORTGAGE COMPANY: Name: Not Applicable Address: City: Zip: Phone: State: BONDING COMPANY: Name: _Not Applicable Address: City: Zip: Pk - 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 re structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. y ,strict or prohibit such In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. erform the work 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CON PAYING WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." CONSULT AND Signature of O er/�Lessee/�Cctor as Agent for Owner Signature of Con ctor/License Holder STATE OF FLQRIDA COUNTY OF S. twc r>~ The forgoing instrument was acknowledged before me this j 5 `day of —Z �l 20 —)Q by Name of person making statement, Personally Known %_ OR Produced Identification Type of Identification Produced KGNNI LENAE DEWI?T Notary Public— State of Florida Commission # GG 165915 (Signature of Notary Pu Ir��r ""'' e`'.�i •' t aondedfi}dugh tdalional Wary Assn. Commission No. GGi r (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW SATE DATE COMP STATE OF FLORIDA COUNTY OF S'- L.✓Cry The forgoing instrument was acknowledged before me this 3 I day of l , j 20� by TUq N Name of person making statement. Personally Known k Type of Identification OR Produced Identification Produced KONNI LENAE DEWI T T Notary Public — Stale of Florida (Signature of Notary Publ Commission # GG 166915 .d = A4v Comm. Ex ires Dec 10 2021 -tale;oFl n utrNaiionaib Notary Assn. Commission No. CG )(PG Sr (Seal) PLANS VEGETATION REVIEW REVIEW SEA TURTLE MANGROVE REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 201754644 Date: 07-31-2020 Model Status : Active AHRI Type: HRCU-A-CB-O (Mini -Split Heat Pump, with Remote Outdoor Unit Air -Source, Free Delivery) Series Name: M-Series Outdoor Unit Brand Name : Mitsubishi Electric Outdoor Unit Model Number: MUZ-HM09NA2*** Indoor Type: Mini -Splits (Non -Ducted) Indoor Model Number(s) : MSZ-HM09NA*** 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 (95F) : 9000 EER (95F) : 12.00 SEER: 18.00 High Heat (4717) : 10900 Low Heat (17F) : 6700 HSPF : 8.50 Sold in?: USA 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. Ratings that are for by WAS indicate an involuntary re -rate The new Published rating is shown along with the previous (i.e. WAS) rating 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, Now ON III personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link 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.' 132406893935148344 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 7103 S Parcel ID: 3412-414-0002- Account #: 40637 Sec/Town/Range: 12/36S/40E INDIAN RIVER DR 000-9 Map ID: 34/12S Zoning: Residentia Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Rosalyn E Rains 12 36 40 07 36 41 N 100 FT OF FOL DESC PROP: BEG ON RIV 7103 S Indian River DR BANK ATNE COR OF ANKONA CEMETERY RUN W 950 FT Fort Pierce, FL 34982 M/L TO FEC RR, TH NWLYALGRR 305 FT, TH E TO RIV, TH SLY TO POB WITH RIP RTS (20) (OR 1010-2170; 1890-417) Current Values Historical Values 3-year Just/Market: $391,600 Assessed: $223,439 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,500 Taxable: $172,939 2019 $391,600 $223,439 $50,500 $172,939 2018 $377,300 $219,273 $50,500 $168,773 2017 $350,300 $214,763 $50,500 $164,263 Date 01-28-2004 04-16-1996 View: Year Built: 1948 Primary Wall: CB Stucco Bedrooms: 2 Full Baths: 3 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor Price 1890 / 0417 XX01 QC Tucker Elizabeth L $100 1010 / 2170 XX01 WD Tucker Elizabeth L $100 Primary Building Information Finished Area of this building: 3,155 SF Gross Sketched Area: 4,197 SF Roof Cover: Dim Shingle Frame: Story Height: 1 Story A/C %: 100% Heated %: 100% Sprinkled %: 0% Exterior Data Roof Structure: Hip Grade: B No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FrcdHotAir Heat Fuel: ELEC Total Areas Building Type: HB Effective Year: 1970 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Type Qty Units Year Blt Driv-Concret 1 2025 1998 CHAINLINK 6' 1 1586 1999 WOOD DOCK 1 580 1999 UTILITYAVG 0 140 2010 3,575 4,617 2.15 93,619 2