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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL INFMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce Ft 34982 Phone: (772) 452-1553 Fax: (772) 452-1578 Commercial Residential x PERMIT APPLICATION FOR: (ne&Y6fcft-f PROPOSED IMPROVEMENT LOCATION: Address: IQ Fv ct A gam, 1.e al Description: CMA A) '!�n,T (. --aaaz) - Property Tax ID #: C) Q� Lot No. Site Plan Name: Project Name: - -lL�a � C���i� �-�- Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION -OF WORK: Exact change out Of ur7 �+installed 1Lf 5�� - sQ(►+ /O kW S rw`xz C �' 60 14*03ox- �� �V L? C ©C3 bL_ FCONSTA0 — ON;INFORMATION: p � Ad! nal work to be ertormed under this ermit —maappk ari a 7Y�� AC n Gas Tank []Gas PipingL _shutters aWindows/boors Electric Q Plumbing Sprinklers 11 Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ �Q � Utilities: Sewer Septic Building Height: OWN WLESSEE: CONTRACTOR: Name L A Name: Zacek, Dennis Address: C4N Rel a Company: American Residential Services City: State: FL Address: 2800 U5 Hwy 1 Zip Cflde: 3 Fax: NIA City: hero Beach FL Phone No. 003—a1 I< -- I t t W State: Zip Code: 32960 Fax: 772 754-9783 E -Mail: NIA Phone No. 772 794-7221 Fill In fee simple Title Holder on next page { If different E -Mail: bderby@ars.com from the Owner listed above] y chi M CIQ 49 7 State or Count License: If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. ,� oY4 t� t L L 7FO - SUPPLEMENTAL CONSTRUCT IIEN LAW INFORMATION: DESIGNER/ENGINEER: / Not Applicable MORTGAGE COMPANY: x Not Applicable Name: / Name: Address: / Address: City: / State: City: / State: Zip: phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not A !e BONDING COMPANY: x Not Applicable Name: %� Name: Address: / Address: City: / City: / Zip: Phoma 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, consult with lender or an attorney before commencing work or recording your Notice of Commencement. _ Signature of O er/ Lessee/Agent STATE OF FLORIDA COUNTY OF s,ua�e The f oing instru ent wa acknowledged before me this day of r% ( . 20 J_:�Lby Dennis Zacek I(Namo p rson acknow a ingf " ia—_7 V t ure of Notary Public- State of iorida } Personally Known x OR Produced identification Type of Identification Produced e _O0 5 Signature of Contra r/License` Holder STATE OF FLORIDA COUNTY OF Spuds The forgoing instrument was acknowledged before me this _3 day of 4gu ( . 20 tq by Dennis Zacek (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of identification Produced Commission No. F.e�F(-xs*'v7) off THOMAS H. D►9�ri�mission No. NOTARY PUBLIC F FLOP) ?A C omrn# FF128494 Revised 07/15/2014 3, Expaas 61212013 1� (Sea1) THOMAS H. DAt'i�'Rtf� NOTARY PUBLIC 1 -STATE OF FLOPJDA Cornr[�# FF" 28494 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 9658582 Date: 3/7/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 25HCE460A*030* Indoor Unit Model Number: FV4CNB006L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: 14 SEER HP Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 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 (Btuh): EER Rating (Cooling): SEER Rating (Cooling) .�_ _' 1111111111111111 57000 11.50 14,00 Heating Capacity(Btuh) @ 47 F: 540[ Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 33000 Rating, followed by an asterisk i') indicale a voluntary rerate , prev-;,uVy published data, unless accompanied with a WAS, which indicates an involuntary rerale J 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 Rf 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-CONDMONINO, HEATINO, CERTIFICATE VERIFICATION a, 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131333999630415553' Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: 126 Ocean Bay DR Sec/Town/Range: 22/36S/41 E Map ID: 35/225 Zoning: HIRD Ownership Eugene E Donnelly Virginia Donnelly 126 Ocean Bay DR Jensen Beach, FL 34957 Property Identification Parcel ID: 3522-608-0020-0004 Account 4: 168790 Use Type: 0400 Jurisdiction; Saint Lucie County Legal Description OCEAN BAY VILLAS (OR 3027-2096) UNIT 126 (OR 3056-2222) Current Values Just/Market Value: $322,200 Assessed Value: $322,200 Exemptions: so Taxable Value: $322,200 Taxes for this parcel: SLC Tim Collector's Office 12 Download TRIM for this parcel: Download PDF 0 Pagel of 3 Total Areas Finished/Under Air (SF): 2,212 Gross Area (SF); 2,864 Land Size (acres): 0.02 Land Size (SF): 1,000 http://www.pasic.org/RECard/ 3/7/2017 Sale History Date Book/Pagc Sale Deed Grantor Price Code Sep 18, 2008 3056:2222 XX00 SP Pukka Development Inc, $627,500 Jun 25, 2004 2000..'2701 XX02 SP Anchor Bay Development Inc, $10,000,000 Building Information (1 of 1) Finished Area. 2,212 SF Gross Total Area: 2,864 SF Exterior Data View: Roof Cover; Roof Structure: Building Type: X233 Year Built: 2007 Frame: Grade: 233A Effective Year: 2007 Primary Wall: CB Stucco Story Height: 3 Story No. Units: I Secondary Wall: Interior Data Bedrooms: 4 Electric: Primary Int Wall: Full Baths: 3 Heat Type; Avg Hgt/Floor: 0 Half Baths: I Heat Fuel: Primary Floors: A/C %: o% Heated %: WA%. Sprinkled %: 0% http://www.pasic.org/RECard/ 3/7/2017