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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S n L IjeC -( :1J J a G V° 1 L 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: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: �/X ! 'Z02 - 0f Lot No. Site Plan Name: � j f Pi ��%P�j�O�+;�AT S2 nQ l 1P Block No. 6_ Project Name: L/ DETAILED DESCRIPTION OF WORK: % Z i D21 IZV e New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: I `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: /l Cost of Construction: $ g `7 // q tl Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Address: q. Company: City: State: Address. Zip Code: ?LegS2- Fax: City: 6V State::4� Phone No. /742- :3/2�29 Zip Code: a,/1 22 Fax: E-Mail: Phone No D Fill In fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License 4 — v 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. SUPP'L:E%4ENTAL CONSTRUCTION' LIEN LAW INFORMATION: ° DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: Address: _ Not Applicable Address: City: Zip: Phone State:_ City: Zip: Phone: State: _ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 co ict 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 attorneybefore commencingwork or recordin our Notice of Commencement. Signa ner Lessee/Contractor as Agent for Owner Sign ntractor/Ucense Holder STATE OF FLORIDA /// STATE OF FLORIDA COUNTY OF S� fl,/�i.P �'j�J COUNTY OF Sworn to (or affirmed) and subscribed before me of Swom to (or affirmed) and subscribed before me of Physical Presence or,, Online Notarization Physical Presence or 7LOnline Notarization this 1� day of 1 /A/� Lam/ . 2020 by this -day of _' JU2:4 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known ___Cl OR Produced Identification _/ Type of Identification Type of Identification Produced, r f� Produce ( "�/J r�Vr l�lJflOAk (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida I Commissio Commission NDRA WP1 SH -o,^ &IDRA 4LSH �'s State of Florida -Notary Public :State of Florida-Nara:y Public x - REVIEWS - ' om T My ission °� '2 JptR OR yCommission SEAAyHRT4E 20 xpues 1AANGR E „ RPLANS EVIEW DATE RECEIVED DATE COMPLETED ev. PorttStiLucie,Circle49,92 clean ,fir 9 Techncicales PROPOSAL AND AGREEMENT � A/C Sales Service installation By Jeffrey Almeida - Lic # CA-CO58660 CUSTOMER NAME r ADDRESS -- �F CITY, STATE, ZIPS gg kq'i2i (772) 335-2061 Fax 335-1802 PHONE �"2 DATE ��yl JOB ADDRESS WORK PHONE We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS Make `f j,1� Mode[ Numbers) SEER_ HP EEA BTUH Cooling BTUH Heating 1O4ct, CFM installation shall Include: _New _Amp disconnect _New low voltage wiring _New reinforced equipment pad �g ew vibration isolation pads _New properly sized refrigerant lines _New, clean, dry ACR copper tubing ---Charge to manufacturer's specs _insulate refrigerant suction lines _install refrigerant dder(s) Evacuate refrigerant system .Remove existing equipment from premises _)n4instali now 7a thermostat nn S/New copper wire froma�.e_to*C_ _Complete system start up _ Option (below) _ Alternative (below) —Is (_ Acceptance Date 5�- "t— Z ) X = Yes .Make air tight plenum transition _New dehumidistat _New supply diffuser _New duct run fromto New return air filter grill _ Noise reducing flexible duct connector Clean work area to customer's satisfaction _XNew condensate drain system _Install aux. condensate drain pan New high efficiency air filter Meet all code requirements y19 ear parts warranty _year labor warranty 10 year compressor year service agreeme /a /'IfQ �PV�t'%s t'(%6 Is not) Included in price Installed Price Taxes Total Amount Down Payment Balance Due $ $ T v C.. $4,e-91 D $ 4 /rQ e-- IT Date: ` f2 1 ! Certificate of Product Ratinqs AHRI Certified Reference Number : 7615303 Date : 08-01-2021 Model Status : Discontinued AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series : FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) P7RE-048K 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 FRIGIDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 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 : 47000 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11,00 tModels with'Discontmued' Model Status are those that an AHRI Certlication Program Participant no longer produces AND is no longer selling or offering for sale. Ralmos that are accompanied by WAS indicate an involuntary re -rate The new Published ratino is shown along with the Previous (i.e. WAS) ratin DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warmndes or guarantees as to. and assumes no responsibility for. the product(s) listed on this Certificate. AHRI expressly tllsclaims 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 IMed In the directory at www.ahridirectory.org. AND A TERMS CONDITIONS This MSCertificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for intlivitlual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or In pan, 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. AIRCONDITIONING. HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information forthe model ched on this certificate can be verified at www.ahridirectory.org. click on 'Verity Certificate' link ur make hR 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. 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132723165906477263 MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4882837 OR BOOK 4634 PAGE 247, Recorded 06/21/2021 03:02:08 PM Doc Tax: $1346.10 PreparedBy/Renew to: Laurie Rusk Sewell, Esq. Laurie RuskSnvell, P.A. 2215 SWAfartin Higlnvay a/kla 3500 SWPalm City School Avenue Palm City, Florida 34990 Closing file: 3599.001 Parcel 11 : 3424-702-0112-000-4 LEASEHOLD ESTATE DEED (SIMPLEASFJm Lease With Lifetime Rental Election) MADE this 21st day of June, 2021, between SAVANNA EAGLES RETREAT, L.L.C., a Delaware limited liability company Whose post office address is 27777 Franklin Road, Suite 200, Southfield, MI 48034 hereinafter called the Grantor, and Dennis C. Gladwin, a single man and Judith G. Kellner, a single woman, as joint tenants with right of survivorship and not as tenants in common whose post office address is: 7957 Horned Lark Circle, Port Saint Lucie, FL 34952, hereinafter called the Grantee. (Wherever used herein the terms "Grantor" and "Grantee" include the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporation.) WITNESSETH: That the Grantor, for and in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable considerations, receipt whereof is hereby acknowledged, by these presents does transfer, set over and assign unto the Grantee all that certain Leasehold Estate in and to the following described real property situate, lying and being in St. Lucie County, Florida, to wit: Lot 15, Block 61, EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2, according to the Plat thereof, as recorded in Plat Book 43, Page 21, Public Records of St. Lucie County, Florida. SUBJECT TO restrictions, reservations and easements of record, if any, and taxes subsequent to December 31, 2020. TO HAVE AND TO HOLD the same pursuant to the terms and conditions of the Links at Savanna Club Long Term Lease Agreement (SEMPLEASETm Lease With Lifetime Rental Election) which is recorded in Official Records Book 1499, Pages 1966 through 1981, and a Restatement of Links at Savanna Club Long Term Lease Agreement recorded in Official Records Book 1537, Pages 2219 through 2233, as further amended by that Amendment to Long Term Lease Agreements recorded in Official Records Book 3739, page 284, all of the Public Records of St. Lucie County, Florida, which terms and conditions are incorporated herein by reference (the "Lease"), with the Grantor herein being the Landlord and the Grantee herein being the Tenant and also referred to as the Original Tenant. The commencement date of this Leasehold Estate is June 21, 2021, and the initial monthly rental is $602.67. OR BOOK 4634 PAGE 248 AND the Grantor hereby covenants with said Grantee that it is the lawful owner of said real property; that it has good right and lawful authority to transfer and assign a Leasehold Estate therein; that it warrants the title to said Leasehold Estate, subject to the terms and conditions thereof, and will defend the same against the lawful claims of all persons claiming by, through or under Grantor. IN WITNESS WHEREOF, the Grantor has caused these presents to be executed in its name, by its authorized agent, with the corporate seal affixed thereinto, the day and year set forth below. Signed, Sealed and Delivered In our presence: "W(itness: a f7 s✓r3 I!'iiihJ ';t3ftf�tt1'171.'Lf l imess: NF!Ie 5l;{j,},tt ti=" STATE OF MICHIGAN COUNTY OF OAKLAND SAVANNA EAGLES RETREAT, L.L.C., a Delaware limited liability company BY: ASSET INVESTORS OPERATING PARTNERSHIP, L.P., a Delaware limited partnership, its Sole Member BY: SUN AIOP GP LLC, a Delaware limited liability company, its General Partner BY: SUN COMMUNITIES OPERATING LIMITED PARTNERSHIP, a Michigan limited partnership, its Sole Member BY: SUN COMMUNITIES, INC, a Maryland corporation, its General Partner BY: David Haynes, VP of Sales and Services [Corporate Seal] The foregoinginstrument was acknowledged before me by means of [XI physical presence or [ ] online notarization, this !k t ' day of June, 2021, by David Haynes, Vice President of SUN COMMUNITIES, INC., a Maryland corporation, as general partner of SUN COMMUNITIES OPERATING LIMITED PARTNERSHIP, a Michigan limited partnership, sole member of SUN AIOP GP LLC, a Delaware limited liability company, general partner of ASSET INVESTORS OPERATING PARTNERSHIP, L.P., a Delaware limited partnership, as sole member of SAVANNA EAGLES RETREAT, L.L.C., a Delaware limited liability company, on behalf of the corporation, who is personally known to me or who has produced a drivers license, as identification. NOTARY PUBLIC Sign: ri,' (notary seal) KIMBESLffl ON Notary Public,ichigan Ocunry My eommissicn 03, 202L Acting in the County?.7'.i•L� OR BOOK 4634 PAGE 249 ACCEPTANCE Grantee hereby accepts the foregoing Leasehold Estate Deed and agrees to be bound by the terms and provisions set forth therein including, but not limited to, the Lease and the Savanna Club Property Owners Documents, copies of which have been furnished to the undersigned. Grantee hereby covenants with said Grantor that the Grantee satisfies the (Federal) Fair Housing Amendments Act of 1988 (Pub.L. 100-430 approved September 13, 1988; 102 Star. 1619) with respect to adult communities which provide housing for older persons of which,one person occupying the Leasehold Estate attained the age of fifty-five (55) years (the "Qualifying Occupant"). If any Grantee as of the date hereto has not attained the age of fifty-five (55) years or is not the spouse of the Qualifying Occupant or a non -spouse companion of the Qualifying Occupant whose residence is the Leasehold Estate as of the date of the death of the Qualifying Occupant, then that Grantee shall be deemed a subsequent Tenant and not an Original Tenant at the time the Qualifying Occupant and the spouse or non -spouse companion of the Qualifying Occupant no longer occupy the Leasehold Estate. The subsequent Tenant shall be liable for any additional rent imposed pursuant to Section 2.3 of the Lease. WITNESSES:, Witness j 4 '---Wifness Name: 1 4W-tE Diut.. ^N State of Florida County of Martin (Seal) Dennis C. Gladwin c-. C, /, %:._, (Seal) J ith G. Kellner The foregoing instrument was acknowledged before me by means of [X] physical presence or L] online notarization, this E5' day of June, 2021 by Dennis C. Gladwin and Judith, . Kellner, who Ll are personally known or [X] have produced a driver's license as identificIti . 7 1 [Notary Seal] Notary Public 1� Printed Name: My Commission Ms Expires: '"�'•' "fie: ERICARAEADER MYCOMMISSION#GG 167524 EXPIRES: December 12,2021 9ended ih,u Nat aryPubGc Undanm0ars