Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
"i
Date: -6 _C-I Permit Number:
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: f��- 2�rs \FS �l�C� .�EJr 211 ��cg0) r ��
Property Tax ID #:' Lj 6� - ��jd�- ��� (� Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
V
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
XM _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: pp-//►►
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: �Oh(-)an(�y,rC.-T-
Address: -'
Company• I J i
Address:)
City: (~1State:�d:(-
Zip Code: `�j,� r 6 e9,P- Fax:
Phone No. '7i�-! (p ^ ,q/�
City: POn- c ( State:
Zip Code: Fax:
Phone No (7"
E-Mail: <
Fill in fee simple Title Holder on next pa (if different
from the Owner listed above)
E-Mail
State or County License CAcJr,�-J to q,-`1]
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: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name: _
Address:
Address:
City: State:
City: _State:
Zip: Phone_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: 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 or an attorney before commencing work or recording our Notice of Commencement.
Signature f Owner/ Lessee/Contractor as Agent for Owner
STATE O LORIDA
COUNTY FL u G< `--
Sworn tq (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this,CP day of by
Name of person making statement.
Persona own �_ OR Produced Identification
pe of Identifica n Produced
(Signature of Notary Public- State of Florida )
,,.............., KONNI LENAE DEWITT
Commission No. C-�Cr,lu(Ot I (Seal) ��;, `�;,r,• Notar�Public-State of Florida
Commission # GG 166915
My Comm. Expires Dec 10, 2021
bonded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
emu smal CERTIFIED'
www,ahrid Irecto ry.org
11 two M ne
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
AHRI Certified Reference Number: 201340979 Date : 08-24-2020
Model Status: Active
Old AHRI Reference Number: 1076057
AHRI Type : SPY -A (Year -Round Single -Package Air -Conditioner, Air -Cooled)
Series: RHEEM RSPM SERIES
Outdoor Unit Brand Name : RUUD
Outdoor Unit Model Number (Condenser or Single Package) : RSPM-A030JK
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 RUUD 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 : 28600
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 12.25
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 produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
selling or offering for sale,
atln s that a e accom anted bv WAS dic to an i volunta re-r -rate. The new Ilshed rating is shown along with the evious (Le. WAS tl
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 arlsing 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.aliridirectory.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 utilizA=
ed, 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.shrldirectvey.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make lire heuer"
which is listed above, and the Certificate No,, which is listed at bottom right.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NCB-_ 132427733809333901
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 122 NETTLES Parcel ID: 4502-501-0308- Account #: 119896 Sec/Town/Range: 02/37S/41E
BLVD 000-0
Map ID: 45/03N Zoning: Hutch Isla
Use Type: 0100 Jurisdiction:
Saint Lucie
County
Ownership
Legal Description
Martin J Keely III
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 122
WI68N11551 El Camino Dr
ANDPRO-RATA SHARE IN COMMON ELEMENTS
Germantown, WI 53022
Current Values
Historical Values 3-year
Just/Market: $163,000 Assessed:
$163,000 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable:
$163,000 2021 $163,000 $163,000 $0 $163,000
2020 $156,300 $156,300 $0 $156,300
2019 $143,400 $143,400 $0 $143,400
Sale History
Date Book/Page
Sale Code Deed Grantor Price
03-10-2021 4572 / 2346
0001 WD Navarro Caroline $156,000
10-09-2012 3445 / 2116
0001 WD Thomas John H $115,000
02-21-2003 1668 / 2204
XX00 WD Vinci Rose $112,500
Primary Building Information
Finished Area of this building: 748 SF
Gross Sketched Area: 946 SF
View:
Year Built: 1992
Primary Wall: Vinyl Siding
Bedrooms: 1
Full Baths: 1
Half Baths: 1
Type
Roof Cover: Dim Shingle
Frame:
Story Height: 1 Story
A/C %o: 100%
Heated %: 100%
Sprinkled %: N/A%o
Exterior Data
Roof Structure: Gable
Grade: ISHH
No. Units: l
Interior Data
Electric: MAXIMUM
Heat Type: FredHotAir
Heat Fuel: ELEC
Building Type: ISH1
Effective Year: 1990
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: Carpet
Total Areas
Finished/Under Air 748
(SF):
Gross Sketched Area 946
(SF):
Land Size (acres): 0.05
Land Size (SF): 2,010
Total Building Count: 1
Special Features and Yard Items
Qty Units Year Blt
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.