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BUILDING PERMIT APPLICATION
All APPLICABryLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I, r I -1 -camqI Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: 4WC r'-` 1q--)Go �--r I PROPOSED IMPROVEMENT LOCATION: () Address: "Tr` ! U2`I qD i SCf . 1 + , �e \ e_A -CS2_ ' C._ Property Tax ID #: ��' 7��� -(_ � � - � 4 Lot No. 5 J Site Plan Name: EPA 0J Block No. Project Name: Y " 1 DETAILED DESCRIPTION OF WORK: 11 New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: (Affidavit required) Additio ork to be performed under this permit -check all that apply: —Mecha _ Gas Tank —Gas Piping Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: L� �/ I / Cost of Construction: $ 7i / ` l �"! _ Generator Sq. Ft. of First Floor: Windows/Doors Pond _ Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Nam CCA I f >. Name: Address: !q LiabektW1 Company e. ' ` ' City: P-f- . '? i 42c e State: I— Address: 1(aC11 &l( 3LV 11 Zip Code: 3(-/95--I Fax: Phone No. 93� •- SIN—i—,9036 Cit� State: Zip Code: Fax:'M,3Yb-s37Ca Phone No �J E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Pff c ate -eejtti - o, State or County License -�•�� �• ��••��• ••��•.... •� ��.... iiiuic, a nr%.vnuw imutme or 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 ner/ Lessee/Contractor as Agent for Owner STATE OF F ORIDA COUNTY Sworn to (or affirmed) and subscribed before me ofZPhysical Presence or Online Notarization this day of 0()C'p. kDC ;'20 ( by C 1 C ` cnyl'cza Name of person making statement. P ,s<aneflyK�ow ,----OR Produced Identification Type of Identificati n Produced (Signature of Notary Public- State of Florida ) vu •., KONNI LENAE D Commission No. I—{�G,T1 3c� (Seal) f%�' Notary Public Sta'�,Commission # H'�'0cv My Comm. Expires Bonded through satior•a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/210/21 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: 8864541 Date : 06-24-2020 Model Status : Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name : YORK Outdoor Unit Model Number (Condenser or Single Package) : YCG42B21 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE42CX21+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 ANSI/AHRI 210/240 with Addenda 1 and 2, 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: 17.00 EER (A2) - Single or High Stage (95F) : 13.75 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 that are accompanied by WAS indicate an involuntary re -rate The new Dublished 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.aliHdirectory„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, Arlm ft personal and confidential reference. Apt? -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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132374976278316495 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Wentification Site Address: 7904 Parcel ID: 1301-607-0112- Account #: 1754 Sec/Town/Range: 02/34S/39E LAKELAND BLVD 000-8 Map ID: 13/02N Zoning: RS-4 Count Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Donald A Bethel LAKEWOOD PARK -UNIT 7- BLK 74 LOT5 (MAP 13/02N) Sandra L Bethel (OR 3558-1294) 7904 Lakeland BLVD Fort Pierce, FL 34951 Current Valdes Historical VaWes 3-year Just/Market: $199,300 Assessed: $173,543 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $123,543 2021 $199,300 $173,543 $50,000 $123,543 2020 $177,100 $171,147 $50,000 $121,147 20t9 $167,300 $167,300 $50,000 $117,300 Sale History Date Book/Page Sale Code Deed Grantor Price 02-28-2018 4107 / 2156 0001 WD Coq Roland $174,000 08-15-2013 3558 / 1294 0112 SP PNC Bank NA $105,100 04-15-2013 3507 / 1168 0112 CT Cross Gerald $74,000 Primary Building Information Finished Area of this building: 1,517 SF Gross Sketched Area: 2,327 SF View: Year Built: 2007 Primary Wall: CB Stucco Bedrooms: 3 Full Baths: 2 Half Baths: 0 Roof Cover: Dim Shingle Frame: Story Height: 1 Story A/C %: 100% Heated %o: 100% Sprinkled %: N/A% Exterior Data Roof Structure: Hip Grade: C+ No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FredHotAir Heat Fuel: ELEC Total Areas Building Type: HC+ Effective Year: 2007 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Tile -Ceramic Finished/UnderAir 1,517 (SF): Gross Sketched Area 2,327 (SF): Land Size (acres): 0.27 Land Size (SF): 11,700 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt Driv-Concret 1 760 2007 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.