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
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REVIEWS
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SEAAyHRT4E 20
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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