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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST 8ECOMPLETED FOR APPLICATION TOBEACCEPTED 4�1101-q — Permit Number: Building Permit Application - - ���Humm��� o ����u� x����m����mon Planning and Development Services Building and Code Regulation Division CO0DFRe[CiJl Residential Z3ODVirginia Avenue, Fort Pierce Fl34982 Phone: (772)462-15SS Fax: (772)462'157O Address: Property Tax |D#: Lot No. Site Plan Name: Block No.______ Project Name: re'r New Electrical Meter Second Electrical Meter (Affidavit required) Additional work to be performed under this permit -check all that apply: Mechanical ,Y, Electric Gas Tank __Plumbing Total Sq. FtofConstruction: Gas Piping Sprinklers Shutters Generator Sq. Ft. of First Floor: Windows/Doors Pond Roof Pitch Cost of Construction: $ 2-0 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Fill in fee simple Title Holder on next page if different from the Owner listed above) E - M a i I i r f;' 1�,:' C;ql C C, +,vi '4% 't , C ZP State or County License FC I Sub &02L nvalue o*construction |sZsonormore, a RECORDED Notice ofCommencement isrequired. Ifvalue ofnAVC is$7,5oVurmore, aRECORDED Notice ofCommencement iyrequired. DESIGNER/ENGINEER: X Not Applica Name: Address: City: Zip: Phon FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: °' Not Applicable State: Not Applicable 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 or an attorney before commencing work or recording our Notice of Commencement Signature of Omer/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF g Q GW.,I Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this 10 day of_ j4ySr 20_ by W i'f �J P a Name of person making statement. Personally Known _ OR Produced Identification Type of Iden if' cation Produced (Signature of Notary Public- State of Florida ) Commission No. , ( 1 (Seal) °''"Y'l""" KONNI LENAE DEWITT ,s..41 �n,; ., ( "' a `\r ° : Notary Public- State of Florida Commission # GG 166915 My Comm. Expires Dec 10, 2021 Bonded through National Notary Ass REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5120121 �� L�J0verhead | |Underground FPLAccount Number Meter Number and Pictone Meter info Existing ON 1. Size Service 1200A Panel 2. Conductor Size 3. a. Meter Main Yes Grounding upgraded totwo ground rods? Fv| Yes Panel info New 200A Main Breaker42 Space Pa GROUNDING ELECTRODE CONDUCTOR SIZE: [7 #6 [� �-X] #4 D RX Residential n New installation F—1 0|d Installation © 6A •. © •ill 5. © 8A 0 •' •' '• • .:•A ••. Not a valid N/A selection F Slave mode N/A 4- Reattach the ribbonE _ to the .. sealing cover. 5. Reinstall the sealingcover.• security pin Torxto lightly sealingthe cover by • nly the top 6. Turn ON power. 7. If the installation is successful, the LEDs briefly sequentially illuminate green with a Pattern that ends with the top green LED staying solid ON. If there is a solid or flashing red LED, refer to Troubleshooting on page 22 and resolve the error before You continue. Note: To review the pattern of blinking lights, press and hold the RESET button for 5 seconds. 8. Turn OFF power. 9. Write the contact information of the installer on the label on the inside of the Wall Connector. Step -by -Step Installation Instructions Secure the Cover and Power Up Use a T20 security pin Torx driver to install the remaining screws on the sealing cover. Ensure that the cover is properly aligned before fully tightening the screws. Attach the outer cover to the sealing cover starting with the latch at the top. Engage the snaps on the sides and align the mounting tab with the housing at the bottom. 3. Use a T70 Torx driver to install the screw that secures the bottom of the outer cover to the housing. 4. Close any unused openings with power and signal conduit plugs. Note: There should not be any visible openings to the inside of the Wall Connector, and the Wall Connector should be completely sealed from the environment. 5. Turn ON the power. The installation is correct if the LEDs go through a sequence of flashing, ending with the top Green LEDs staying solidly ON. If there is a solid or flashing Red LED, resolve the error before you continue (refer to Troubleshooting on page 22). Note: To review the pattern of blinking lights, press and hold the Reset button for 5 seconds. 6. Attempt to charge the vehicle to ensure the Wall Connector is operating correctly and charging at the selected operating current. For instructions on how to charge, refer to the owner information provided with the vehicle. 21 8/10/2021 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification SitcAddress:51.00 Parcel ID: 3402-602-0164- Account #: 36548 Sec/Town/Range:02/36S/40E PiNETREE DR 000-8 Map 1D: 34/02S Zoning: RS-3 - Cou Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Thomas A Mosley 1NDIAN RIVER ESTATES -UNIT I- BLK5 LOTS 1 AND 2 (MAP 51.00 Pinetree DR 34/02S) (OR 470-1044: 933-1931: 1003-1429: 1009-1107: 3920- Fort Pierce, FL 34982-7479 1383) Current Values Historical Values 3-year Just/Market: $179,100 Assessed: $89,788 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $39,788 2020 $179,100 $89,788 $50,000 $39,788 2019 $174,700 $87,770 $50,000 $37,770 2018 $169,200 $86,134 $50,000 $36,134 Sale History Date Book/Page Sale Code Deed Grantor Price 08-11-2016 12-09-1.994 3920 / 1383 0933 / 1931 0130 WD Mosley Jimmy L XX01 QC Mosley Jimmy $31,300 L $100 Primary Building Information Finished Area of this building: 1,900 SF Gross Sketched Area: 3,128 SF View: Year Built: 1984 Primary Wall: Wood/Sheath Bedrooms: 3 Full Baths: 2 Half Baths: 0 Roof Cover: Dim Shingle Frame: Story Height: 1 Story A/C %: 100% Heated %: 100% Sprinkled %: N/A% Exterior Data Roof Structure: Hip Grade: C No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FrcdHotAir Heat Fuel: ELEC ff"#M'tj g Building Type: HC Effective Year: 1984 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet Finished/UnderAir 1,900 (SF): Gross Sketched Area 3,128 (SF): r. Land Size (acres): 0.91 -- Land Size (SF): 39,600 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt Driv-Concret 1 600 1984 UTILITY AVG 1 140 2000 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. c0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RECard/#/propCard/36548 1/1