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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 21117 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 3498.2 Phone: (772) 462-1553 Fax:. (772) 462-1578 Commercial Residential XXX PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 308 Ottawa way Fort Pierce, FL 34946 Legal Description: Property Tax ID 4: 705020021865 Site Plan Name: Project Name: Setbacks Front Back: I DETAILED DESCRIPTION OF WORK: Right Side: Left Side: REPLACE LIKE FOR LIKE AC 10 KW, 14 SEER, 3.5 TON, OUTSIDE Lot No._ Block No. CONSTRUCTION INFORMATION: ��itiona wor to a performed under this permit —check a appy: C_IHVAC 11 Gas Tank ❑Gas Piping OGenerator Shutters Windows/Doors RElectric ❑Plumbing Sprinklers E Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 4,599,00 S Ft. of First Floor: _ Utilities:0Sewer ElSeptic Building Height:. OWNER/LESSEE: CONTRACTOR: Name Jeff Smith Name: Don Miranda Address: 308 Ottawa way Company: Miranda Plumbing & Air Conditioning p Y� City: Fort Pierce State: FL Zip Code: 34946 Fax: Phone No. 772-595-6620 Address: 750 NW Enterprise Drive City: Port Saint Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-878-5123 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: 1 . ti [ �1 f� �i✓I(I a State or County License: CAC1815486 C C", M o06CS . 1 11 VONUC Vi LUMAJ uiuvn ib ?cauu or more, a KtLUKUtU Notice of Lommencement is required. SUPpLMENTAL CONSTRUCTION LIE N LAW ENCIRMATfQN: 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: 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before -the first inspection. If you intend to obtain financing, consul lh-leer-er n attorney before co enci r c or recor I ur Notice of Commence� Signature of Owner/ Lessee/Agent ; Cn Z. STATE OF FLORIDA 4 Y SV } COUNTY OF _ L��t '� � 0 SEA TURTLE 2 The for oing instrument was acknowledged before n• $ this day of y. t Y 20 �y z �--- o Sln '!LLQ REVIEW DATE person acknowled ing ) 7(Naef COMPLETE (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification %PPro�d ruced Commission No.Fl— /`" � -7 (Seal) Revised 07/15/2014 Signature of Con STATE OF FLOR A COUNTY OF Theforgoing inst pnt was acknowledged before m this 178 day of 20 i by C)N) t_ E 1 REt (Nam/of rson acknowledging) f &�..+: ( 1gr ature of N tart' Public- State of Florida) �v����,,�`� Personally Known L--�'OR Produced Identification Type of Identification Produced Commission No. rr— qvVd l `Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Tangible Personal Property Card Property Identification Parcel ID: 001390 Identification #: Smith, Jeff 705020021865 Account Status: Open Location: 308 OTTAWA WAY City: Saint Lucie County Business Name: Smith, Jeff Business Type: 7050 - Tall DBA: Smith, Jeff Pines Contact: Jeff Smith State Code: 814110 - Private Year Added: Households Ownership Current Values Smith, Jeff Market Value: 308 Ottawa Way $1,139.00 Fort Pierce, FL Exemption Value: 34946 $1,139.00 Taxable Value: $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF 12 Exemptions Grant Exemption Exemption Exemption Year Code Description Value 2008 TPPX Tangible Personal $1,139.00 Property Exemption Asset Group and Value Page 1 of 2 Asset Value MH Awnings $54.00 MH Carport $331.00 MH CentralAC $280.00 3.5T MH Main Area $0.00 MH Pafio C:ovQr s?1 00 http://www,paslc.org/TPPCard/ 2/112017 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service www.ahridirectory.org between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8382627 Date: 2/1/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1442H41E* Manufacturer: XENON Trade/Brand name: XENON 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, R€, 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. Series name: GPC14 Manufacturer responsible for the rating of this system combination is XENON Rated as follows in accordance with AHRI Stanoard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btu€I): 40000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.Op IEER Rating (Cooling): Ratings follnwed by an asterisk (*) indicate a voluntary cerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 pre valid only for models and configurations listed in the directory at www.ahrid!rectory.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 6eucr^' 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. — — — ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131304447948592376