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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IJ- d 5 r Permit Number: C�`L r. LLLCs,IIL C ( U o IJ Planning and Development Services Building and Code Regulation Division Commercia 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: �/C­ C—�' PROPOSED IMPROVEMENT LOCATION: Building Permit Application Residential Address: Ulci,, ffCV-f' JpI `�� Property Tax ID #: `"7V -;�_ I Lot No. Site Plan Name: �",�Block No. Project Name: I DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter (Affidavit required) [CONSTRUCTION INFORMATION: Additiona ork to be performed under this permit - check all that apply: e�al Gas Tank Gas Piping p g _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ �, ) Ce f i Generator Sq. Ft. of First Floor: Windows/Doors Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNERAE5SEE: CONTRACTOR: NamekilM\. Name:�1�C�lt'ti1C'C,l_ Address: 6206 4)f0ie.5 45r `y° '° Company: I+ y f�. (and A City:f'ilf'f lP<Ch State: f Addre Zip Code,:.t, (J1q. ' Fax: Phone No. No. - .- ► _ City: Lk Zip Code: �Z ie7 Phone No c cjC: State: E-Mail ` (Ofln Fill in fee simple Title Hold r on n xt page ( if different from the Owner listed above) E-Mail State or County License It 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 of 0 ner/ Lessee/Contractor as Agent for Owner STATE OFF RI A COUNTY O "J Sworn to (or affirmed) and subscribed before me of f Physical Presence or Online Notarization thisj�day of _(>Ci�1(1�- "'✓', 20( by Name of person making statement. Personally Known i OR Produced Identification ype of Identifica i Produced (Signs ure of Notary Public- State of Florida ) {�yci'dp;..,_ KONNI 4ENAE DEWITT Commission No.� %/1/(�/C% (Seal). �'• Notary Public State of Florida Commission 4 HH 16513a.'oFMy Comm. Expires Dec 10, 2025"' tdedthrough Natioral Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratings AHRI Certified Reference Number: 8862545 Date : 02-16-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name : YORK Outdoor Unit Model Number (Condenser or Single Package) : YCG24B21 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV 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, INC, 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 : 24000 SEER: 18.00 EER (A2) - Single or High Stage (95F) : 14.75 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. Ratings at are a �c�m�anied bg WAS indicate an involuntary re rate The new published rating 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.atiridirectory.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, AM 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 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. 132579804488723324 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 2019 Parcel ID: 4502-501-0022- Account #: 119622 Sec/Town/Range: 02/37S/41E NETTLES BLVD 000-1 Map ID: 45/02N Zoning: Hutch Isla Use Type: 0100 Jurisdiction: Saint Lucie County ownership Legal Description Kristina Lynn Gates NETTLES ISLAND INC, A CONDO -SECTION I PARCEL 19 Adam R Gates AND PRO-RATA SHARE IN COMMON ELEMENTS 2019 Nettles BLVD Jensen Beach, FL 34957 Current Values Historical Values 3-year Just/Market: $220,100 Assessed: $220,100 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $170,100 2021 $220,100 $220,100 $50,000 $170,100 2020 $212,900 $212,900 $0 $212,900 2019 $199,000 $199,000 $0 $199,000 Sale History Date Book/Page Sale Code Deed Grantor Price 10-28-2020 4613 / 0976 0130 WD O'Neal Kristina Lynn $100 03-21-2020 4402 / 0313 0001 WD Williams Howard E $240,000 10-01-1983 0415 / 0964 XX00 CV $28,000 Primary Building Information Finished Area of this building: 1,023 SF Gross Sketched Area: 1,116 SF View: Year Built: 2015 Primary Wall: CB Stucco Bedrooms: 2 Full Baths: 2 Half Baths: 0 Type Roof Cover: Metal Frame: Story Height: 1 Story A/C %: 100% Heated %: 100% Sprinkled %: N/A% Exterior Data Roof Structure: Hip Grade: ISHH No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FrcdHotAir Heat Fuel: ELEC Building Type: ISHI Effective Year: 2015 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Tile -Ceramic v Total Areas Finished/Under Air 1,023 (SF): Gross Sketched Area 1,116 (SF): Land Size (acres): 0.06 Land Size (SF): 2,417 Total Building Count: 1 SpecW Features and Yard Items Qty Units Year Bit 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.