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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / ZI t.% Permit Number: _ (D d Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential PERMIT APPLICATION FOR: c ��I -- PROPOSED IMPROVEMENT LOCATION: f ;mot oca- CAA Q CA P _ E-- �3 Y _ q5_- Address:��S� l�CZt, A� Oc'�f-'�l �� Property Tax ID # %� — `J i� _ Lot No. Site Plan Name: L Block No. Project Name: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Addition w6rk to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: t' v� Cost of Construction: $ _; `7� Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: �`rrn�ll�sC/11�i1�1� Address: oC\ Company:(�I+P LIPC i� C Q(l� City: �d = L.' (¢—' State: _ Zip Code: Fax: Phone No. - %93' 13 Address: �qf SW S0� h'I.ao_e610�� � City: Zip Code: � Phone Now%— t/ State - Fax: `c 3�O d' E-Mail: v Cdn Fill in fee si le Title \H'Jolder4 neV page ( if different from the Owner listed above) E-Mail State or County License ACl/ st 6 1143 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: I h V 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: 9Not 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 of 0 n r/ Lessee/Contractor as Agent for Owner STATE OF F O ID COUNTY O Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this IU day of I�eGe W\IGI1- 0,9 ( by Name of person making statement. Pe_rs aady�K-rmw OR Produced Identification y�pe of Identificati Produced (Signature of Notary Public- State of Florida) KONNI LENAE DEWITT Commission No. NI11 tag-l3LI (Seal) F; � Notary Public State of Florida Q: Commission # HH 165134 My Comm. Expires Dec 10, 2025 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 AHRI Certified Reference Number: 206020185 Date : 02-10-2021 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) : PCE4A4224 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, 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 : 41500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.20 f"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. Ratings that are accompanied by WAS indicate an involuntary re -rate The newDublishe�is shown along with the previous (i.e. WAS) rating. 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 www.al6 rid;roc:ti)ry.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Alm 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, 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.alirldirectory.org, click on "Verify Certificate" link we snake life bens°^ 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.: 132574328587809919 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3380 Parcel ID: 3425-703-0358- Account #: 129231 Sec/Town/Range: 25/36S/40E IRONWOOD AVE 000-6 Map ID: 34/25S Zoning: Planned Un Use Type: 0200 Jurisdiction: Saint Lucie County Ownership Legal Description Gerald M Keyston SAVANNA CLUB PLAT THREE BLK 39 LOT 7 Aleta Marie Keyston 3380 Ironwood AVE Port St Lucie, FL 34952 Current Values Historical Values 3-year Just/Market: $148,600 Assessed: $148,600 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $98,600 2021 $148,600 $148,600 $50,000 $98,600 2020 $110,300 $82,503 $50,000 $32,503 2019 $112,400 $80,649 $50,000 $30,649 Date 10-13-2020 04-21-2003 10-18-1994 View: Year Built: 1995 Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 A Sale History Book/Page Sale Code Deed Grantor 4492 / 2037 0001 WD Taylor (TR) Elizabeth P 1701 / 0617 XX00 WD Trainque Lionel L 0926 / 1538 XX00 WD SAVANNA CLUB CORP Primary Building Information Finished Area of this building: 1,532 SF Gross Sketched Area: 2,402 SF Roof Cover: Frame: Story Height: 1 Story A/C %: 100% Heated %: 100% Sprinkled%: N/A%o Exterior Data Roof Structure: Grade: SAVC No. Units: 1 Interior Data Electric: Heat Type: FrcdHotAir Heat Fuel: ELEC Total Areas Price $191,000 $127,000 $111,500 Building Type: MHA Effective Year: 1995 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Kams Type Qty Units Year Blt 1,532 2,402 0.12 5,436 1 All infonnation is believed to be correct at this time, but is subject to change and is provided without any warranty. C Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.