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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/10/21 Permit Number: ALI�7'451"T'L,) Building Permit Application Planning and Development services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR:AC CHANGE-OUT / MECHANICAL PRaSEd'IIPatU11lI` NT l( ATI1N Address: 169 BLUE GROTTO DRIVE, FORT PIERCE, FL 34945 Property Tax ID#: 2310-500-0141-000-3 Lot No.8 Site Plan Name: BENITEZ, JOSE Block No. 7 Project Name: BENITEZ,JOSE T�ETA;I:LEIJ bSCFtIPTIf�,N O� WORKS - s fr . f� REPLACE AC, LIKE FOR LIKE,OF A 3.5 TON, 17 SEER YORK,YCG42B21,AE42CX21, 10 KW New Electrical Meter Second Electrical Meter CCCTRU7lC1V'I( f C RIJIATINY T T 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: Sq. Ft. of First Floor: Cost of Construction:$ 6881.00 Utilities: —Sewer —Septic Building Height: Name JOSE ANTONIO BENITEZ WESTERBAND Name:JOHN PANKRAZ Address:169 BLUE GROTTO Company:ELITE ELECTRIC AND AIR City: FORT PIERCE State: ,0.v. ... Address:1691 SW SOUTH MACEDO BLVD Zip Code: 34945 Fax: City: PORT SAINT LUCIE State.FL Phone No.772-475-5292 Zip Code: 34984 Fax: 772-340-3702 E-Mail:JB3NITEZ@GMAIL.COM Phone No 772-340-3797 Fill in fee simple Title Holder on next page(if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM from the Owner listed above) State or County License CAC1816433 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. UPPNTAL + ►N `f IUCTItI INC LWU tltilUN "IC1N, J, : r t r DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender oran attorney before commencing work or recordin your Notice of Commencement. Signature of Owner/�essee/Contractor as Agent for Owner Signature of Contrac or/License Holder STATE OF FLORI A STATE OF FLOR-DA COUNTY OF SAwTcIE COUNTY OF SAI T CIE Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of x Physical Presence or Online Notarization x Physical Presence or Online Notarization this 10TH day of MAY ,--2020 by this 10TH day of MAY 2 9-by JOHN PANKRAZ JOHN PANKRAZ Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produce.d..w__ .._ ._m.._._. Prod ced"___ -- - � KONNI LENAE DEWITT KQNNlt_ENAEDEWITT "." :�<P«Y „A,. z o Notary Public—State of Florida (Signature of Notary Public- IcTitma)y Public-state o On a (Signature of Notary Publi "t larid� mission#GG 166915 Commission;d GG 166915 N ,!.t o"=My Corhm.Expires Doc 10,2021 Ta 511I1 Irw= CO p,Expires Dec 10,2021 ���r';`:�` Bon hro h National Notary Assn. Commission NO. GG166915 a� Fg y ommission No. of tl hrba�t,National Nolen Assn. GG166915 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. This combination qualifies for a Federal Energy Efficiency Tax Credit when / a o placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratings AHRI Certified Reference Number:8864541 Date:06-24-2020 Model Status:Active AHRI Type:RCU-A-CB Series:LX SERIES Outdoor Unit Brand Name:YORK Outdoor Unit Model Number (Condenser or Single Package):YCG421321 Indoor Unit Model Number(Evaporator and/or Air Handier):AE42CX21+TXV 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 region(s)for which they meet the regional efficiency requirement. The manufacturer of this YORK product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,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:41500 SEER:17.00 EER(A2)-Single or High Stage(95F) : 13.75 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 prod uced:'Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratin s that are accom anied by WAS indicate an involunta re-rate. The new Rublished ratin2 is shown alon with the revious 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, 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.alirldirectory.org,click on"Verify Certificate"link we make life better'" 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. "' 132374976278316495 ©2020Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE O.: Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 169 Blue Grotto Parcel ID:2310-500-0141- Account#: 166344 Sec/Town/Range: 10/35S/39E DR 000-3 Map ID:23/10N Zoning:Planned Un Use Type:0100 Jurisdiction: Saint Lucie County Ownership Legal Description Jose Antonio Benitez Westerband PALM BREEZES CLUB(PB 49-32)BLK 7 LOT 8 169 Blue Grotto DR Fort Pierce,FL 34945 Current Values Historical Values 3-year Just/Market: $149,300 Assessed: $91,159 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,500 Taxable: $40,659 2020 $149,300 $91,159 $50,500 $40,659 2019 $152,400 $89,110 $50,500 $38,610 2018 $142,300 $87,449 $50,500 $36,949 Sale History Date Book/Page Sale Code Deed Grantor Price 04-12-2021 4592/1513 0001 WD Greene Evelyn Sue $223,800 03-04-2015 3729/0326 0001 WD Bessette Christina $120,000 04-14-2014 3629/1323 0112 QC Secretary Of Veterans Affairs, $91,000 Primary Building Information Finished Area of this building: 1,705 SF Gross Sketched Area:2,353 SF Exterior Data View: Roof Cover:Dim Shingle Roof Structure:Hip Building Type:HC+ Year Built:2009 Frame: Grade:C+ Effective Year:2008 Primary Wall:CB Stucco Story Height:2 Story No.Units: 1 Secondary Wall:Frm Stucco Interior Data Bedrooms:3 A/C%: 100% Electric:MAXIMUM Primary Int Wall: Full Baths:2 Heated%: 100% Heat Type:FrcdHotAir Avg Hgt/Floor:0 Half Baths: I Sprinkled%:0% Heat Fuel:ELEC Primary Floors:Carpet Total Areas Finished/Under Air 1,705 r (SF): Gross Sketched Area 2,353 C� (SF): Land Size(acres): 0.11 Land Size(SF): 4,748 i Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt Drive-BrkPav 1 360 2008 WOOD FEN 6' 1 52 2009 All information is believed to be correct at this time,but is subject to change and is provided without any warranty. Copyright 2021 Saint Lucie County Property Appraiser.All rights reserved.