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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