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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ 3 - `c) O;L.ZL Permit Number: Jlw- Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential PERMIT TYPE: 56i0,v'- qace �1t1 PROPOSED IMPROVEMENT LOCATION: ✓ Address: is a r c, 3 Property Tax ID #: d 0 '6 p U 0 Lot No. 3(e Site Plan Name: —.0 r� a �Q I K o' mo S Block No. 5 d Project Name: DETAILED DESCRIPTION OF WORK: c�v CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors Electric Plumbing _ Sprinklers _ Generator — Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ Gaod -w OWNER/LESSEE: Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: Name C, R c:kmoS Address: 1 City: �i- �� e, �G „ State: EL Zip Code: _ . 3y� SS a Fax: Phone No.-1 (p 4 (o E-Mail: OQ [ 5a1 c,r,r -X:t, . (` _c. ,rn Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Kz be C, Company:�sn�c"Y-�neL� 5 e+FnS Address:.(„�t� -u-, City: ��GrCe _ Stater Zip Code: 2L Fax:46(111�3-1 Phone No 11 a%P4 �P (o 3 E-Mail kA 5 t 6y- en e. Z Mc1 \ , CO State or County License 05(o63D,,..,_, If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC 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: _ i Name: Address: Address: City: State: City: State: Zip: Phone Zip; Phone: BONDING COMPANY: Not Applicable FEE SIMPLE TITLE HOLDER: Not Applicable Name: Name: Address: Address, City: Zip: Phone: 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 apermit 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 Horne 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." - -- �ul ZIJA .)--- 12 t"I 7 d Signature of Owner/ Lessee n ractor as gent for Owner Signature of Cont r/License Holder STATE OF FLORIDA COUNTY OF S"C �'o GL � STATE OF FLORIDA COUNTY OF ST �-yc—t-p" The forgoing instrument was acknowledged before me this -a- day of ZO y The forgoing instrument was acknowledged before me this, day of 1( CWC. \ 20�..by t 'Rot_eY4 Z•r� 1ack � eY4 -7'y'a`\aGA. Name of person making statement. Personally Known v OR Produced Identification Name of person making statement, Personally Knowny OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pu II - State of FI 'd f Notary Pub c- fate of Florida Notary Public St Commission No. L�v4 � 5�. ($' KirriberlyLarg My Commission Expires 12126r2 to of Florida r� G Comm issifl o.J.-�, yp Notary PubkeSut 313 942752 Kfterfy Large 23 My Commission G 01 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE M COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE T COMPLETED ev. o►ida 7$2 SOLAR ENERGY sYsTEnns ESTIMATE and P_RO_POSALO An Energy Management Company 0160 Smallwood Ave. Florida State Certified Solar Contractor #CV 0056637 Ft. Pierce, Florida 349M Martin Co. Indian River Co. State 464-2663 288.0442 552-8999 1-800-330-7657 DATE _20 _ NAME PHONE CELL E-MAIL ADDRESS CITY STATE ZIPCODE REF# SPECIFICATIONS: Solar Energy Systems offers to furnish and install: O SOLAR HOT WATER D SOLAR POOUSPA HEATING I`I HEAT PUMP rl GAS HEATER SOLAR WATER HEATING SYSTEM SOLAR POOLSPA HEATING SYSTEM 0 # Collectors X O # Tank Size Serial # 0 Pump Type O Over 60 Foot Run 0 Tilt _ 0 R,ype - ---- 0 � Story 0 2 Tank Tie In _ 0 10 Year Warranty TOTAL PUMP INFO Load Center Type— — Breaker Red. A VJlre Gauge _A Distance to Service- 220 Service Needed Slab Needed Service to be supplied by owner Yes,____ — No 0 #�__Collectors 4 x 8 4 X 10.5 4 x 12.5 $ 0 Heat Pump g 0 Manual 3Way valve _—_._._.- CI Automatic Control $ 1 rl Pool Blanket (x) _ f �j ,_.� $. - - - f7 Pool Blanket Roller $ 0 Additional Piping Over 60' () $ C11 Replacement Pump (HP) $ 0 Trenching_ $ 0 Spa Tie-in $ © Roof Type_ $— _ CI Pump HP $ 0 - r d Legal Description: Parcel - I D # LOT ELK TOTAL $ r 0 INDICATE SOV`rH SUB. INSTALLATION I understand that this is on[y an estimated date, and that I will be contacted prior to this date to DATE schedule actual installation. Customer Can Buy At This Pries Until Building / Pool (DATE) Contractor: "POOL BLANKET REQUIRED FOR OPTIMAL PERFORMANCE" APPROVED BY Submitted By: Phone # We hereby propose to fumish labor & materials • Complete installation to existing premises in accordance with above specifications, for the sum of: TOTAL — --- —DOLLARS $ With payments to be made as follows Q-DEPOSIT $ -__ TI Fv%LANCE $ - -1 UPON COMPLETION 17 TO BE FINANCED All system components meet FSEC standards, All work Is to be completed In a workmanlike manner according to standard practices. Any alteration or deviation from above specitioations Involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be. made as outlined above. Payments not made upon completion subject to late fees. after 10 days. See cancellation agreement on back of page, DATE (CUSTOMER'S SIGNATURE) (SPOUSE'S SIGNATURE) MEM81m FLA@IXB& -4Z5PA CUSTOMER: WHITE OFFICE: PINK INSTALLER: MANILLA FLORIDA v.,. wuw nrcnrrfrAanurtuu� 311122, 3:58 PM 1MG-1361.1pg CLOSING AFFIDAVIT (Buyer) Before rne, the undersigned authority, personally appearcd Crystal Ramos ("Atiiant"), who being by me first duly sworn on oath, deposes and says that, L Crystal Ramos ("Buyer"), is purchasing the following described property from Rhonda Withun Acrey, Tina Marie Withun, Sara Ann Leeman, and Harold Ramsey ("Seller"), to wit: Lot 36, Block 50, Indian River Estates Unit Seven, according to the map or plat thereof, as recorded in Plat Boole 10, Page(s) 75, of the Public Records of St. Lucie County, Florida. 2. Buyer's marital status as reflected in this affidavit and the other closing documents is true and correct. The Buyer is of legal age and has never been adjudged incompetent There are no matters pending against the Buyer that could give rise to a lien that would attach to the property prior to the recording of the interests to be insured, and Buyer has not and will not execute any instrument (nor permit any action to be taken) that would adversely affect the title or interests to be insured.. There are no judgments or liens against Buyer and no bankruptcy proceedings are currently pending with respect to Buyer. 3. To the best of Buyer's knowledge, information, and belief, (a) within the past 90 days there have been no improvements, alterations, or repairs to the above described property for which the costs thereof remain unpaid, and that within the past 90 days there have been no claims for labor or material furnished for repairing or improving the same, which remain unpaid; (b) there are no actual or potential mechanic's, mlatedalmen's, or laborees liens against the property; (c) there are no tenancies, leases or other occupancies (oral or written) affecting the property; (d) no other person or entity has any contract to purchase, option to purchase, right of first refusal, or other potential claim of right to purchase the property. 4. Buyer knows of no violations of municipal ordinances pertaining to the property, or any action or proceeding relating to the property which is pending in any court, nor does the Buyer know of any judgment, tax lien, or matter of any nature whatsoever which could create a lien or charge upon the property. Buyer has no knowledge of any matters that could or does create a cloud on the title to the subject property. 5. 'There are no matters pending against the Buyer that could give rise to a lien that would attach to the property between the effective date of commitment imd the recording of the interest to be insured. Borrower has not and will not execute any instruments that would adversely affect the interest to be insured. 6. There are no actions or proceedings now pending in any State or Federal Court to which the Buyer is a party, including but not limited to, proceedings in bankruptcy, receivership or insolvency, not are there any judgments, bankruptcies, liens or exomWons of any nature which constitute or could constitute a charge or lien upon said property 7. This affidavit is ,given for the purpose of clearing any possible question or objection to the title to the above referenced property and, for the purpose of inducing New Door Property Transfer Treasure Coast and Fidelity National Title insurance Company to issue title insurance on the subject property, with the knowledge that said title companies are relying upon the statements set forth herein. S. Buyer hereby holds New Door Property Transfer Treasure Coast and Fidelity National Title Insurance Company harmless and fully indemnifies same (including but not limited to attorneys' fees, whether suit be brought or not, and at trial and all appellate levels, and court costs and other litigation expenses) with respect to the matters set forth herein. "Affraut", "Seller" and "Bayer" include singular or plural as context so requires or admits. Buyer is familiar with the nature of an oath and with the penalties as provided by the lawns of the United States and the State of Florida for falsely swearing to statements made in an instrument of this nature. Buyer has read, or heard read, the full facts of this Affidavit and understands its context. https:Hmail.google.com/mail/ul0l#inbo)dFMfcgzGmvLNNgPXrQhVxLRPFhwkfhnfj?projector= l&messagePartld=0.2 ill 3/1122, 3:58 PM IMG-1360.jpg I a" pmalcks of Kt joss �. I� � ttu i �u•r _: :a;.,�u,zt ia� A[a alai t " wail IF v 91M ow r +_ 4C'1'�t STATE OF FLC10t % CUL:%'nL ' OF ST LUCIE �. fir..■rfM r aL poamtKt W O u+lu: utmwali.ai d a a 'frffe 11r1y,� �JM7'1R !4i �.RY':� f'tta�rcczi I .�' htips://mail.google.comlmaiUulOf#inboxlFMfcgzGmvLNNgPXrQhVxLRPFhwkfbnfj?projector=1&messagePartid=0.1 111 Collector Rating Search n FLORIDA SOLAR ENERGY CENTEW CreGL:rIC Energy Independen:e FSEC Collector Search Instructions: FIII in as many values as desired to select partial or full listings and click on Show Selections. Page I of 1 FSECYd: ...... w_. _....._....-._. Collector Type: Select Collector Type • Company: Heilocol USA, Inc .'...W _ . _--.. ��..,.-. _ ...._ T I . Show Selections ! Show in Extol ..Reset to [)efaUj� t I Ratings Summary Of FSEC Certified Collectors 01/28/2013 Click on a FSEC Number to see the full page Collector report. Thermal Thermal Thermal Collectors Glazing Ahaarber Gross performance Low Performance Intermediate performance Thermostphon Area Temperature Temperature High Temperature or ICS Rating Rating Iteting Company m of Npumh rHa 7yoe erl Heat Coating � Btu/De lltu/rt2 Btu/Day gtu/� Btu/pay Btu/ft2 Net 95a y enargy Coaff Heflocol TC 30 USA, Inc. 00De4C 0 Polypropylene Nane with UV None 29.42 25000 650 9700 330 stabilization 0 0 Heliocol Polypropylene TC 4o USA, Inc. 00085C 0 None with UV None 41.41 35200 850 13700 330 0 0 stabilization Mellocol Chromagen Tempered Copper tubes USA, Inc. CA110 00093 I low Iron welded to Selective 25,48 24400 960 19100 750 5500 220 glass coppernm Hellocol Tempered Copper tubes USA, Inc. Alpha 32 2U79 1 low Iron welded to Selective 31.90 30900 970 24200 760 7900 220 glass copper fins Heilocol Tempered Copper tubes USA, Inc. Alpha 40 0gR30— i low Iron welded to Selective 40.06 3B500 960 30100 750 8700 220 glass copper6ns Hellotol USA, Inc. TC 50 9701Q 0 Polypropylene None with UV None 48.6 41300 050 161D0 330 stabilization 0 0 HeOocn! Polypropylene HOocol3e 0 C e USA, Inc. 00012 _ 0 None with UV None 36.68 351DQ 960 12600 340 0 0 stabilization Helloro! USA, Inc, Hellacol 40 OOD13C D Polypropylene None with UV None 4M68 30900 9ao 14000 340 0 stabilizaton 0 Heffacol USA, Inc. Hellacol 50 AW 0 None with pUVy]ena None 48.23 46100 960 1650D 340 stabilization 0 0 Hellacol Sun Miser Polypropylene USA, Inc 40 CQQ170 None with UV None 40.68 38900 960 14000 34D 0 0 stabilization Hellocol Sun Miser USA, Inc. 50 00018c 0 Polypropylene Nona; with Uv None 48.23 45100 960 16500 340 stabilization 0 0 Hellacol Mellornl30 USA, Inc. 00012 0 Polypropylene None with UV None 29.15 27900 960 100oa stabilization 340 0 0 https://securedb.fsec.ucf.edulstcplcotlector search?action=search&show optionsml&debu... 1/28/20I3 9LIOCAL 5pl,gRF'p LHPA71Nr.ENGINEERE FaR Li E. HOB ft COnnectr the 501ar O Our Panels x,1iq tjjYSte Vacuum Breaker ' (HC-T2i) v3 i Pressure Test Kit (HC-PTK) used here to pressure test the system. 9fj� TD SOLAR COLLECTO}i (COOL) Bali Valve Bill Valve { (HC-S210) `� K-5210) —,� 9 I Three Way Valve,. (HC-3344) EJ NEW PLUMBING Check Valve - EXISTING PiLUiV4j3lNru (HC-1790) PUMP. FR M.Pb6L FILTER FiG 12.1 ~ V RETURN FROM SOLAR COLLECTOR (WARM) m ROOF SENSOR AUTO CONTRO! (Optional) VALVE CONTROLLER d— -- POOL SENSDA instaii after this point: • Chlorinator Heater • Other pool accessories (optional) RFE71UPiN TO P0,DL (HOT) 19