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HomeMy WebLinkAboutHelzner Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: ��-TWI ) ((A (L''s t -el .. (0�� Property Tax ID #: 1 `),2----7 -7c,4 C0,39 0000 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter (Affidavit required) 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 Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $� Utilities: _ Sewer _ Septic Lot No. Block No. Building Height: Pond Pitch OWNERf LESSEE: CONTRACTOR: Name VCiZ Name: n t wl Address: S L Company: f ek'C NAr City -;. i ,i' L Stater( Zip Code: Fax: Phone No.2ZV3000 Q[ 2 E- Address: �l�tL 'C,.C) Vie%., City: Zip Code: .51-15Fax: Phone No L State: 2_: _ Cr _1C Mail: gCi.V)oo_•(.0an Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailt 1 f , e-C-C' i( State or County License {�; 1s I UJ4 a� 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: I DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not 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 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 attorney before commencing work or recording your Notice of Commencement. Q Signata of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF 1--by" - Swor to (or affirm ) ands bscribed before me of Physical Presence or Online Notarization this day of i�� , 20 1by Joh(l Wank-1i��2 Name of person making statement. Personally Known OR Produced Identification Type of Identification Prod (Signature of Not6fVvKublic State of Florida) Commission No. (Seal) MELTEMALPSAGIR rt*; MY COMMISSION # GG 943933 EXPIRES: January 5, 2024 FdOF F4�.` Bonded Thru Notary Public underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21 Certificate of Product Ratings AHRI Certified Reference Number: 202306134 Date : 03-14-2022 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) : YCE421322 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE42CX21+TXV 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 - 2017 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 : 41500 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 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 ratina 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.sahritlirectory.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.ahridireetory.org, click on "Verify Certificate" link ,e 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. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132917296983370183 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3400 TWIN Parcel ID: 1327-704-0039- Account #: 130226 Sec/Town/Range: 27/34S/39E LAKES TER 103 000-0 Map ID: 13/27S Zoning: Use Type: 0400 Jurisdiction: Saint Lucie County Ownership Legal Description Richard Helzner LAKESHORE VILLAGE OF MEADOWOOD PHASE I BLDG Edwina Jenckes 3004 UNIT 103 15066 Sunflower DR Philadelphia, PA 19116 Current Values Historical Values 3-year Just/Market: $100,900 Assessed: $100,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $100,900 2021 $100,900 $100,900 $0 $100,900 2020 $89,700 $83,746 $0 $83,746 2019 $97,700 $76,133 $0 $76,133 Sale History Date Book/Page Sale Code Deed Grantor Price 01-20-2020 4374 / 0690 0001 WD Coli Marcos $108,000 05-29-2013 3525 / 2935 0001 WD Kamps James $55,000 04-18-1997 1075 / 2433 XX01 WD HARBOR FEDERAL SAVINGS $65,000 AND LOAN Primary Building Information Finished Area of this building: 1,417 SF Gross Sketched Area: 1,680 SF View: Year Built: 1989 Primary Wall: CB Stucco Bedrooms: 2 Full Baths: 2 Half Baths: 0 Type Roof Cover: Frame: Story Height: 1 Story A/C %: 0% Heated %: N/A%o Sprinkled %: 0% , Exterior Data Roof Structure: Grade: X78B No. Units: 1 Interior Data Electric: Heat Type: Heat Fuel: Building Type: X078 Effective Year: 1989 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: F »- Total Areas " Finished/UnderAir 1,417 (SF): Gross Sketched Area 1,680 (SF): Land Size (acres): 0.02 Land Size (SF): 1,000 Total Building Count: 1 Special Features and Yard Items Qty Units Year Blt 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.