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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: !'1 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential r/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: NC- Cban - OJA
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID Lot No. r
Site Plan Name: i (? Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
6 � I ; � -fin
�i 6 I
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additiona work to be performed under this permit — check all that apply:
Zechanical
_ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ � Fijq5- Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Nam
14-- ,
Name:
Address: c o)o b t,l P�rxc Q_
Company: ` '
Cit `�� 6�--- c
y _) r k E= State: �
Zip Code: �-'�- Fax:
Phone No. P
Address: / (cam
..�
City:. � I � F State:_.....
Zip Code: FaX ` 0,
Phone No 17::�J C
E-Mail:dle.n' k)'i '1 V(e 1c'i�m(71 r ®
Fill in fee simple Title Holder o�nJJnext page ( if different
from the Owner listed above)
E-Mail
State or County License
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 CONSTRUCTI LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: of Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _ of 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 our Notice of Commencement.
Signature of ner/ Lessee/Contractor as Agent for Owner
STATE FL RI
COUNT OF < . i( t mod"
Sworn to (or affirmed) and subscribed before me of ,/ hysical Presence or Online Notarization
this day ofQ'' ' lMkD r'" 20;� j by
Name of person making statement.
Pepeal4y�En OR Produced Identification
f Identification roduced
FNAE wITr
o 0
165134
(Signature of No Public- State of Florida), No7comm.
:Expires
Commission No. i`� (Seal) u�� Myc 10, 2025Bonded Notary Assn.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5120121
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHRI Certified Reference Number: 9853822 Date : 06-01-2021 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) : YCG181321
Indoor Unit Model Number (Evaporator and/or Air Handler) : AE18BBA21
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 : 18000
SEER: 18.50
EER (A2) - Single or High Stage (95F) : 15.00
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 that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e.-WAS) ratina.
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.alirldirectory.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, Jum
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,aliridirectory.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 I CERTIFICATE NO.: 132670210731649526
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 10121 Crosby Parcel ID: 3327-710-0016- Account #: 142194 Sec/Town/Range: 33/36S/39E
PL 000-8 Map ID: 33/27N Zoning: Planned Un
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Glen Winfield POD 26 AT THE RESERVE REPLAT CYPRESS POINT (PB 40-
Jean Winfield 3) LOT 114
10121 Crosby PL
Saint Lucie West, FL 34986
Current Values Historicai Values 3-year
Just/Market: $354,800 Assessed: $354,800 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $354,800 2021 $354,800 $354,800 $0 $354,800
2020 $330,000 $330,000 $0 $330,000
2019 $333,000 $310,485 $50,000 $260,485
Date
04-02-2020
08-01-2003
01-01-1900
View:
Year Built: 2002
Primary Wall: CB Stucco
Bedrooms: 3
Full Baths: 3
Half Baths: 0
Sale History
Book/Page Sale Code Deed Grantor
4417 / 1160 0001 WD Shouldice Donald R
1777 / 0526 XX00 SP Reserve Homes Ltd Lp,
Primary Building Information
Finished Area of this building: 2,805 SF
Gross Sketched Area: 5,158 SF
Roof Cover: Conc Tile
Frame:
Story Height: 1 Story
A/C %o: 100%
Heated %: 100%
Sprinkled %: 0%
Exterior Data
Roof Structure: Hip
Grade: A -
No. Units: 1
Interior Data
Electric: MAXIMUM
Heat Type: HeatPump
Heat Fuel: ELEC
Total Areas
Price
$430,000
$383,300
$0
Building Type: HA -
Effective Year: 2002
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: Tile -Ceramic
Finished/Under Air
2,805
(SF):
Gross Sketched Area
5,158
(SF):
Land Size (acres):
0.26
Land Size (SF):
11,238
Total Building Count:
I
Special Features and Yard Items
Type
Qty Units
Year Bit
RES POOL AVG
1 285
2002
SPA -HOT TUB
1 64
2002
Drive-BrkPav
0 850
2002
POOL ENC-AVG
1 1454
2002
POOL HEATER
1 1
2002
POOL DK-GOOD
1 1105
2002