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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: , ' LI (r C U LIJ' 47S 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 CBDG Funding PERMIT APPLICATION FOR: r- PROPOSED IMPROVEMENT LOCATION: Address: `_11- (I Is '!r,i-H, Cl in Dw_ Property Tax ID #: `�;Nqc C (DAL) 11 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: A New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional work to be performed under this permit -check all that apply: V16onechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: I �,,t� Cost of Construction: $ 1 14(0 ; Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR; Name a � 6f- Name: � r a Address: Company: w C City: Chi ,in State:. Zip Code:Fax: Phone No. ` c t - E- Address: !� fr.l_ State: Zip Code:.. 7 Fax: . Phone No G 1 ' Mail: �'- �`a00I 11, C0 Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail ~+ 'k r G 0AG 'w , Cif State or County Lice nse=HUt i( ,61 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 CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: City: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 attornev before commencing work or recording your Notice of Commencement. 0'_'_,� Signature of QGntractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF L( Sworn to (or affirmed) and subscribed before me of )c Physical Presence or Online Notarization this .7,ci day of y't�'_ 6 20 `Z t-by Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida) Commission No. I�j4� r`% (Seal) i.. KONNI LENAE DEWITT Notary Public • State of Florida Commission 4 HH 165134 of f ; My Comm. Expires Dec 10, 2025 9orded through Natioral 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: 205145409 Date : 03-08-2021 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) : YCE30B22 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BBA21 Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 : 30000 SEER: 15.25 EER (A2) - Single or High Stage (95F) : 13.00 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. Ratinas that are accompanied by 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.ahridirectory.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, 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132596871862419106 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 9409 S OCEAN Parcel ID: 3535-333-0001- Account #: 116442 Sec/Town/Range: 35/36S/41E DR 040-4 Map ID: 35/35S Zoning: Hutch Isla Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Scott A Petersen 35 36 41 (ISLAND VILLAGE PHASE II BLDG 1 UNIT 30) Karen E Petersen FROM INT W R/W AlAAND S LI SEC RUN S 88 DEG 37 MIN 9409 S Ocean DR Apt 30 29 SEC W ALG SD S LI 373.31 FT, TH N 01 DEG 22 MIN 31 Jensen Beach, FL 34957 SEC W 470.04 FT TO POB, TH S 88 DEG 37 MIN 29 SEC W 55.8 FT, TH N 01 DEG 22 MIN 31 SEC W 16 FT, TH N 88 DEG 37 MIN 29 SEC W 55.8 FT, TH S 0122 MIN 31 SEC E 16 FT TO POB (OR 4030-895) Current Values Historical Values 3-year Just/Market: $132,000 Assessed: $119,444 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $69,444 2021 $132,000 $119,444 $50,000 $69,444 2020 $126,000 $117,795 $50,000 $67,795 2019 $126,000 $115,147 $50,000 $65,147 Sale History Date Book/Page Sale Code Deed Grantor Price 07-21-2017 4030 / 0895 0001 WD DiGiorgio Jr Benjamin $127,000 08-19-2013 3556 / 2089 0111 QC Zambrotta Lorraine $100 05-01-2009 3089 / 2382 0001 WD Capogrosso Emily $120,000 Primary Building Information Finished Area of this building: 1,270 SF Gross Sketched Area: 1,520 SF Exterior Data View: Roof Cover: Dim Shingle Roof Structure: Gable Building Type: XT41 Year Built: 1983 Frame: Grade: T41A Effective Year: 1983 Primary Wall: CB Stucco Story Height: 2 Story No. Units: 1 Secondary Wall: Interior Data Bedrooms: 2 A/C %o: 100% Electric: MAXIMUM Primary Int Wall: Full Baths: 1 Heated %: 100% Heat Type: FrcdHotAir Avg Hgt/Floor: 0 Half Baths: 1 Sprinkled %: 0% Heat Fuel: ELEC Primary Floors: Carpet Type Fen WoodSB 6' „ Total Areas Finished/UnderAir 1,270 (SF): Gross Sketched Area 1,520 (SF): Land Size (acres): 0.02 Land Size (SF): 684.04 Total Building Count: 1 Special Features and Yard Items Qty Units Year Blt 1 45 1983 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved. 2/24/22, 3:27 PM Customer (1530x2O4O) Island Villagc 11 of Hutchinson Island Owncrs Association, Inc. M V '071 SE, Doniini+ckj'l'erraee I Shiart, M-34997 '1*: 772-219-4474� 11?: 772-219-4746 Architectural Ili�.r Br Rouiam, a,,ji 1, 1 1 4 Dpvml Form All exterior changes to any Parcel must have prior written approval from the Island Village If Architectural Review Board (ARB). This includes entry doors, sliders, windows, hurricane shutters, and patios, Normal maintenance (interior Plumbing, electrical, flooring, etc.) does not require ARB approval. However any repairs or changes must be completed by a Florida licensed contractor and comply with the St. Lucie County building codes. The ARB approval Process consists of submitting: 1* A Proposal with specifications and dimensions from a Florida licensed and Insured contractor, copy of the contractor's license and copy of insurance certificate endorsing Island Village 11. 2. Owner must complete the following: e3� Name: L U J Telephone:-22 3,(y 2 13 5. Island Village I I Address: ttban above: Cool Mailing address if different 0 Email Addres s: fitignv�evs- I (we) would like to submit the following request for ARB approval: 01J, r I! > AS Signature of Owner: Submit this form, all following methods: LV41gnaxure Property management using anyof the Email TOni@signaturepropertymgmt.com Regular mail Toni Sinagro, Administrative Assistant Signature Property Management 3171 SE Dominica Terrace Stuart, FL 34997 Signature Property management will verify the application for completeness anfor approval. ssd fo rward I t t* the ARS Once approved by the ARB, Signature Property Management will Issue a letter giving You approval to proceed. BY: Chairperson, ARB Date ---- NOTE: All necessary permits must be obtained from Martin County Building Authority prior to the starting of the work and verification of Inspection after work is completed. final https://go.servicetitan. com/Attach/C u stomer?name=Attaches%2 F2fa4dff4-41 7b-488b-ab35-201 80bf2b740—cdv—photo-00 I -svituqokm p.jpg 1/1