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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: '� WVo Wcut . , `\ Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553 Fax: (772) 4624578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION, Address: PropertyTax lD #: \LAS _ --76) '00�76 `WO `0 Lot No. �� `i, lb Site Plan Name: Block No. Project Name: [DE!TA:ILIE:D:DESCRIPTION OF WORK. New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond es" Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ �� V Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: ' Name � nC��c`OrN Name: CV1k��dcz� o 9ve �C& Address: yQ `� k\ AG (X LS Company: VA Y 0N`< City: k�\� \ { tCQ_ State: �f Zip Coder �-`q\)O Fax: Address: LQ CEO\ \SA GiCLP City: W � State: '� L Phone No. & Zip Code: f Fax: Phone No 4 \..O \1 `;-w l Mail: Fill in fee simple Title Holder on next page (if different E-Mail 1! k&W," e \r �U�hW PL,(2OY'A State or County License �::-c \300n22 R from the Owner listed above) 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 INFORMATION. DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY. _ Not Applicable Name. Address. Address. City: Zip: Phone State: City: State. Zip: Phone. FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY. Not Applicable Name: Address: City: Address: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 attornev before commencing work or recording your Notice of Commencement. Sign tore of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLO COUNTY OF A!j�J\Ge, S=0 Sworr,,to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this tl� day of �/ \'-t, Q \ —, 20` :\by Name of person making statement. Personally Known _ a___ OR Produced Identification Tvoe of Identification Produced of Notary Pu State of Florida) Commission No. (Seal) Notary Public State of Flonda F� o Stephanie Kusarath my Commission HH 025509 Expires 1112112024 w is REVIEWS DATE COMPLETED RECEIVED DATE FRONT ZONING COUNTER REVIEW SUPERVISOR I PLANS VEGETATION REVIEW REVIEW REVIEW SEA TURTLE I MANGROVE REVIEW REVIEW Michelle Franklin, CFA M- Saint Lucie County Property Appraiser w- All rights reserved. Property Identification Site Address: 4903 MATANZAS AVE Sec/Town/Range: 31/34S/40E Parcel ID: 1431-701-0070-000-0 Jurisdiction: Saint Lucie County Ownership Willie G Simmons Angerlon A Simmons 4903 Matanzas Ave Fort Pierce, FL 34946 Legal Description HARMONY HEIGHTS ADDN BLK F LOTS 8,9 AND 10 (OR 364-1999: 438-581) Current Values Just/Market Value: $177,300 Assessed Value: $97,230 Exemptions: $55,000 Taxable Value: $425230 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Use Type: Oloo Account #: 10415 Map ID: 14/31 S Zoning: RS-4 Count Total Areas Under Air (SF); 1,973 Gross Sketched Area (SF): 31874 Land Size (acres): 0.88 Land Size (SF); 385250 Building Design Wind Speed Occupancy Category I ' II 'III & IV ' Speed 140 150,160 Soutces/links: 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. UIVIL ervice Billing Address Willie Simmons 4903 Matanzas Avenue Fort Pierce, FL 34946 USA FPL Home Services FPL Home Services 7830 Byron Drive #7 Riviera Beach, FL 33404 Estimate Details Nillie Simmonso Estimate to replace riser though roof and upgrade grounding system NIII need permits Estimate 199103844 Job 96629539 Estimate Date 8/25/2021 Customer PO lob Address Willie Simmons 4903 Matanzas Avenue Fort Pierce, FL 34946 USA Task # Description Quantity Your Price Your Total M010.T800030 Getting a technician and a stocked service vehicle to your home is the best way 1.00 $89.00 $89.00 possible to resolve your issues on the first visit. When this occurs outside of normal working hours there are additional expenses that are incurred. City or County Permit City or County Permit 1.00 $300,00 $300.00 Good solution for when a permit is required on the job M PT:60.000000 E012.T700205 Bond Metallic Copper Water System 1.00 $245.00 $245.00 Includes main line ground & hot and cold water pipe bonding. Good solution for code specific to ensure professional grounding & bonding to avoid safety hazards. MPT:69.999960 Metallic Rigid Conduit Metallic Rigid Conduit Riser Through Roof Up To 1.00 $566.00 $566.00 Riser Through Roof Up To Includes 10' rigid conduit, eyebolt, weatherhead, and connectors. Wire extra Good solution to safely install a temporary service connection through roof & is required by code to avoid safety hazards. MPT:60.000000 EOO8.T700206 Disconnect or Reconnect Live Service 1900 $105.00 $105.00 Includes connectors and connecting of tested service. Good solution for a reconnect or disconnect of live service is to have a professional electrician ensure it is made safe. MPT:49.999980 E080.T700432 Meter Can Replacement Up to 200 AMP 1.00 $11151.00 $1,151400 E012.T700208 Ground Rod (2) 1.00 $275.00 $275600 Includes 2 ground rods and 15 ft of #6 bare copper Good solution to safely ground new or temporary service to a location & is required by code to avoid safety hazards. MPT:69.999960 Potential Savings $178.65 Sub -Total Tax $2,731.00 $0.00 Total $2,731.00 FPl. HOME SERVICES ELECTRICAL QUALIFIER MATANZAS AVE FORT PIERCE, Residential Standard Calculation 9/25/1997 WILLIE SIMMONS by John SoWk Version 2011 L STEP 1 Article 220.42 & 220.52 sq. ft •! 1973 General Lighting load 5,919 VA 2 Small Appliance 3,000 VA 1 Laundry circuit 11500 VA Gen.Lgt, Sm App.& Laun, Load 10,419 VA 3,000 VA @ 100%= 7,419 VA @ 35% = VA @ 25% = STEP 2 Article 220.50 & 220.51 ❑ ❑ A/C Condenser &Fixed Electric Space Heating �'15ton •' 7,130VA AHU110.kw •� IA/C#2 •', VA AHU 2 Select • A/C a3 • VA AHU 3 Select • i A/C n4 • i VA AHU 4 Select • A/C u5 • VA AHU 5 Select • STEP 3 Article 220.53 asoovA V'; 1 Water Heater 10400VA •', 1 Refrigerator 600 VA • !I Freezer 1,030VA •', 1 Dishwasher 690VA •', 1 Disposal 400 VA •'' R / Hood 1,100VA •' 1 Microwave 4,000VA •' Microwave 170vA • Mini Refrig 400 VA • i Wine Cir s,000vA • Insta Hot tSoovA •! Ironing Center ❑ select • Jacuzzi Tub ❑ select • 1 Sprinkler Pump ❑ select • 1 Well Pump select • Fountain Pump select • Elevator Pool Equip, Panel 11 0 GATES ❑ 0 Other load STEP 4 Article 220.54 Electric Clothes Dryers STEP 5 Article 220.55 QTY 11,600 VA 1 • VA Qty • VA QtY V VA QtY • VA QtY • 4,500 VA FPL HOME SERVICES 6001 VILLAGE BLVD WEST PALM BCH 33407 561-747-5740 8l25/2021 10:12 3,000 VA 2,597 VA VA General Lighting Demand Load Total 1 Heating Load CU Load 11,600 VA 8,730 VA Greater of Heat @ 100% vs.A/C @ 100% Appliance Demand Load 1,400 VA Dryer Demand Load VA 1,030 VA Range Demand Load 690 VA VA Service Demand 1,100 VA VA Demand Load VA VA Neutral Demand VA VA Min.Service Req. VA VA Min. Feeder size VA Min. Neutral size VA Eq. Girding Cond. VA ❑ VA 100% Demand VA No Demand VA No Demand Total Appliance Load 81720 VA 4 or more demand @ 75% plus 100% demand loads 5,000 VA Electric Ranges 83000 W Col C demand or Number of appliances 0 Cooktop Col B demand El Check Box for Gas Range Cooktop Col B demand Oven(s) Col B demand Oven(s) Col B demand Number of appliances 0 Dem, Factor 0% Cooktop & Oven Demand Load W Pool Panel Feeder Calculation (see Note) A B N 0 5,597 VA 11,600 VA 6,540 VA 5,000 VA 8,000 VA 36,737 VA 153 A 74 A 175 A 1/0 4 6 Copper «««««««««« select Continuous Motors '� • ' ❑ 24ov select • ❑ 240v select • IA 240v select • t_1 240v select • ❑ 240v 6,540 VA Non -continuous M otors !select • ❑ 24ov j select • l I 24ov I select • ❑ 240v select • 1-1 240v select • ❑ 240v 0.0 Motor Neutral Load Max.Unbalanced Neutral Load �a►g'r _ r OIF Notary Public State of Flonda Stephanie Kussrath (yiy Commission HH 025505 Expose 11/21/2024 ve0�® 6,540 VA Non -continuous M otors !select • ❑ 24ov j select • l I 24ov I select • ❑ 240v select • 1-1 240v select • ❑ 240v 0.0 Motor Neutral Load Max.Unbalanced Neutral Load �a►g'r _ r OIF Notary Public State of Flonda Stephanie Kussrath (yiy Commission HH 025505 Expose 11/21/2024 ve0�® 0.0 Motor Neutral Load Max.Unbalanced Neutral Load �a►g'r _ r OIF Notary Public State of Flonda Stephanie Kussrath (yiy Commission HH 025505 Expose 11/21/2024 ve0�®