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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INf Q MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4Lou ,,, Permit Number: Ci BuildingApplicationPermit Planning and Development Services -Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, fort Fierce FL 34982 ` Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: .:. .. .. ,., : .. :. CAN.. Address: -3- �. � -- � I-L.'. � '�' ''� -Pra �rt Tax I[ #: � r � o__*_�__ Lot No.------ Site Plan Name: �.� ._ _ ____ __. Block N o. Project Name: --7 _ t , �.F �.�.R�PTic�N. : .: . .: - . E _ _'q­qWA4WWKVV V low- M_ Q If Ea .. 2' New Electrical Meter_Second Electrical Meter—_--__� ---- i' !y . .N.ST.R C�.�Ti.C�.�:l .. .. . .. Additional work to be performed under this permit check all that apply: __Mechanical Gas Tank Gas Piping - �Shutters _ Windows/Doors _ fond Electric ,Plumbing, Sprinklers Generator Roof Pitch Total Sq. Ft of Construction, � Sty Ft. of First Floor: Cast of Construction: $ a Utilities: Sewer Septic BUilding Height: _._ ..:.:... ��mF' Name° mfTV10- N . Address: = Company:_ city: State. Address'_ ZipCode: Fax: city: -_ State _T�_� Phone No. �"' -° 7i Code: Fax: _- - p _ E Mail rI i �.�_.��__�._ Phone N oq zi W Fill in fee simple Title Molder on next page if different F-Mailer �. . from the Owner listed above) State or County license If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of NAVC is$7,500 or more, a RECORDED Notice of commencement is required. S :P hM. ..,. .. L. : , AW NTAo r �T ..... .:.,.. ......:. ... ..:::::..:.•...:::. DESIGNER/ENGINEER: Not Applicable---- MORTGAGE COMPANY: __ �- -- Not Applicable Name: _ Name: Address: Address: �.� City: �t a t e. City: .� State: ZiP: Phone Zi P: Phone: FEE SIMPLE TITLE HOLDER: -� - Not Applicable BONDING COMPANY: ': p Not Applicable Name: Name: Address: �_:Cit Address: — -- ` y� _ � �. City: Zip. Phone:---------- Zip: � Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain �p y a in a pe,rrYlit 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. PIP-asp. consult with your Horne 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 plan, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions accessary 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 'y paying twice for improvements to your property, A Notice of Commencement must be recorded in the public and opted on the _ p IIc records of St. Lucre County p e jobsite before the first inspection. If you intend to obtain financing, conSLalt _wit er or an a before cammencingwork or recording our N e of Commencement.. Sig of Owner/Le see Co actor as Agent for Owner � Si nr_ g �, of Contractor ic.ense older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF - COUNTY OF rL Sworn''to (or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of `___4L Physical Presence or Online Notarization p , physical Presence or Online Notarization this day of ZC��Q by this day of � .�� � - y 2020 by AN 1 i �.I--b-1- Ill& 4 PAP.4 Name of person making statVment. Narr�e of person makin scat ent. g Personally Known_ r�� OR Produced Identification Personally erson��lly Known OR Produced Identification Type of Iden if' cation v _ Type of Identi ica tior Prp^duced Produced- natu (Si I; P f N' ar. PEabli • dt c� Stat. - - ,... (Signature o Notary Public- SHANNON WATTS - S Commission No © "'`'� �'C MISSION#HH 43553 _ ; 3553 OQ I #HH 4 .4- e iR S:SEP i 5,2D24 Commission No. . Ep 16,20 4 Bondd thr ough 1 st State Insurance - nd �h 1st state Insurance ! � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNFER� REVIEW RIVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED MfE COMPLETE:D Eligible for Federal Tax Credit r R CERTIFIED www.ahridirectory.orertificate -of roduct Ratin s AHRI Certified Reference Number:202476041 Date:09-08-2021 Model Status:Active AHRI Type:RCU-A-CB(Spilt System-A'r-Cooled Condensing Unit,Coil with Blower) Series:SOFTSOUND Sx 2600 R410A AD ` Outdoor Unit Brand Name:CCMFORTMAKE b Outdoor Unit VvfmdeG Number (Condensei,or Single Package):N1XA660GK ** F Indoor Unit Model Number(E aporato a:idlor Air Handler):FXM4X60* AL Region. All(AK,AL.,AR,A!,CA,CO,CT,DC, DE,FL,GA,H1,0,uL, IA, IN,KS,KY,LA,MA,MID, ME,1W,MN, MO,MS, MT,NC,ND,NE,NH,NJ,NM.NV,NY,OH,OK,OR,PA,d�i,SC,BD,TIC,TX, UT,VA,VT,WA,W1,W1, (, 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 t,2016 central air conditioners can only be installed in regio"(s)for which they meet the regional efficiency requirement. The manufacturer of this COMFORTMAKER product is responsible for the rating of this system combination. Rated as Bellows in accordance with the latest edition of AHRI 210/240 with Addendum 1,Performance Rating of Unitarny,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(9 F),btu :87000 SEER:16.00 EER(A2)-Single or High Stage(95F) 13.00 4 e 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 prod uced."Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratin s that are accom anied bv WAS indicate an involunta re-rate. The new Rublished ratin is shown alon2 with the 2revious i.e.WAS ratin . 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 arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings ave valid only for models and configurations listed in the directory at www.ahr[c��V,,. s 4 a s TERMS AND CONDITIONS This Certificate and its contents are proprietary products of A.HRL This Certiflcate shall only be used for individual,personal and confidential reference purposes.The contents air this Certificate may not,in whole or in part,be reproduced;copied;disseminated; ArW entered into a computer database;or otherwise utilized in an form or manner or b an means except for the user's individualAa "A I p � � �` Y Y f , 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.a ri irectory.org,click on"Verify Certificate"link we make life 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}. _ 2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE No.: 132756050356367607 Michelle Franklin, C A-- Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:205 Ocean Bay DR Use Type:0400 Sec/Town/Range.-22/36S/41E Account#: 168819 P arcel ll):3522-608-0049-000-3 Map ID:35/22N uxi-indiction:Saint Lucie County ,honing:Hutch Isla Ownership Sandra Chupick(T .) V 205 Ocean Bay Dr $ Jensen Beach,FL 34957 Legal Description OCEAN BAY VILLAS(OR 2627-1946)UNIT 205(OR 2629- 0) Current Values J ust/Maflkk et Value: $334,300 Assessed' alue: $2315362 Exemptions: $50,000 Taxable Value: $181,362 Property taxes are subject to change upon Total Areas change of ownership, Finished/ �ner Air : 2,374 Mo Past taxes are not a reliable l�rojection of future taxes. Gross Sketched a,e Area�SF)( : 31146 The sale of a property will prompt t.!- removal of all exemptions,assessment caps,and special classifications. Land Size(acres): 0.02 00 . wand Size(SF): �, Faxes q } u or this parcel: SLC Tax Collector's Office U BuildingDesignWind T 'd�' P wnuoad E_..� T for this parcel:Download FDF f. Speed Occupancy Category ory 11T1 III&IV Speed 140 1160 170 Sources/links: All information is believed to be correct at this time,but is subject to change and is provided without any warranty. Q Copyright 2021 Saint Lucie County Property Appraiser.All eights reserved.