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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Ct r lt—z' Permit Number: Q .Qk" , V F.Building Permit Application Planning and Development Services 1 Building and Code Regulation Division Commercial Residential D 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: We — PROPOSED IMPROVEMENT LOCATION. Address: 1 C]—ic 1 S . O(' e Cu Property Tax ID #: V0 - - �o Site Plan Name:, --DC-) Project Name-_'t)Cb \.✓e___ DETAILED DESCRIPTION OF WORK: _Poaol Ax u r-,+- 'tee y ci � Icui New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Addit�l-work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: G� Cost of Construction: $ la . I��- Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Lot No. .3 Block No. Building Height: Pond Pitch OW N E RAESSE E: CONTRACTOR: Name Name:�R� J �i Address: IC I S 00-FU%i -D -%(_ ompany:,P] �k EI°P('+OC Cl A d e— City: b-e aJC6 State: _ Zip Code (lq,!) Fax: _ Phone No. — Addre O City: 0r4-5 b SGP YC State: Zip Code: Faxr�����oZ Phone No (� E-Mail: c� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail On(4-(I State or County License CH-CIS-1 lQ V 32 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: 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 your Notice of Commencement. Signature of er/ Lessee/Contractor as Agent for Owner STATE O FLO ID A COUNTY r�fi (�QG'-P-- Sworn_tp (or affirmed) and subscribed before me of \/Physical Presence or Online Notarization this day of PCJ�'(V1i�JC.� 20AL by �Kn t4t xy—EaZ Name of person making statement. �' OR Produced Identification Identificatio (Signature of Notary Public- State of Florida ) Commission No. 1;.t 14faft (Seal) REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ,"` Notary Public - State of Florida �commission # GG 166915 �llll(ir , = My Comm, Expires Dec 10, 2021 Bonded through National NolaryAssn. SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 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: 206020166 Date : 03-31-2021 Model Status : Active AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: LX SERIES Outdoor Unit Brand Name : YORK Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3024 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 YORK product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 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 : 29200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.30 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. Ratin s that are accompanied by WAS indicate an involunta re -rate. The new published ratina is shown alona with the Drevious 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 are valid only for models and configurations listed in the directory at wwwAhridiiectory.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 utilized, in any form or manner or by any means, except for the user's individual, w� 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.ahridirectory,org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better M which is listed above, and the Certificate No., which is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132616959890096915 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 10701 S Parcel ID: 4511-805-0023- Account 4: 124417 Sec/Town/Range: 11/37S/41E OCEAN DR 622 000-9 Map ID: 45/11 S Zoning: Hutch Isla Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description John W Dove VENTURE OUT -SECTION C- LOT 23 (OR 1975-1568 2063- Theresa E Devine -Dove 2009) 10701 S Ocean DR Lot 622 Jensen Beach, FL 34957 Current Values Historical Values 3-year Just/Market: $169,600 Assessed: $116,284 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $66,284 2021 $169,600 $116,284 $50,000 $66,284 2020 $167,300 $114,679 $50,000 $64,679 2019 $146,900 $112,101 $50,000 $62,101 Date 05-24-2004 02-01-1990 04-01-1981 View: Year Built: 2007 Primary Wall: Frm Stucco Bedrooms: 3 Full Baths: 2 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 1975 / 1568 XX02 WD Cain Donald A 0676 / 2045 XX00 WD Harrison Ross H 0355 / 2231 XX00 CV Primary Building Information Finished Area of this building: 775 SF Gross Sketched Area: 807 SF Roof Cover: Metal Frame: Story Height: 1 Story A/C %o: 100% Heated %: 100% Sprinkled %: N/A%o Exterior Data Roof Structure: Gable Grade: ISHH No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FrcdHotAir Heat Fuel: ELEC Total Areas Price $125,000 $65,000 $24,000 Building Type: ISH 1 Effective Year: 2007 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet Finished/Under Air 775 (SF): Gross Sketched Area 807 (SF): Land Size (acres): 0.05 Land Size (SF): 2,022 Total Building Count: 1 Special Features and Yard Items Type 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. 0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.