HomeMy WebLinkAboutBuilding Permit ApplicationALL Af}_PL! BILE I FqUgT gE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q� s)L
Permit Number:
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Cmmercinl
Address:
Legal Description:
Property Tax ID#:lr
Site Plan Name:
Project Name:
Setbacks Front_. Back: _ Right Side: Left Side:
DETAILtD"DESCRIPTION OF WORK: `
L
CONSTRUCTION 1NFORMATION'.
it�on ar toeBe orme un er t is permitID – c ec a app
HVAC Gas Tank []Gas Piping _ Shutters
CElectric 0 Plumbing []Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $
OWNE LESSEE:
Name_:1� a
AAd,— r� tl /"i 1 IF r%
Residential '
5 Ft of First Floor: _
Utilities:Sewer []Septic
CONTRACTOR.
Name: -_ rA IT-. k
City: 0 1�-C' State,
C
Zip Code:,``� Fax:
Phone No.
E -Mail:
Fill in fee simple Title Halder on next page if different
from the Owner listed above) r
If value of construction Is $2500 or more, a RECORDED
Lot No,—.
Block No.
Windows/Doors
Roof
Building Height:
City:—rte,
State jam(,.
Zip Code.. l3 Fax:
Phone No.
C _ C
l-Mall:lr1MC �.6
State or County License:
t
f Commencement is regU' d.
i11 '' Cff\a\JA 0
if
SUPPLEMENTAL CONSTRUCTION LIEN LAW INEORM,ATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _Mot 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 thepermit 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 a first ins ection, if you intend to obtain financing, co% ,�i-tl�-le n attorney before
co enci r< or recor � g-y.Qur Notice of Commencem
_ Signature of Owner/ Lessee/Agent
w c
STATE OF FLORIDA
o
COUNTY OF' =,I , QC
o
o
The for oing instr ent was acknowledged before
The for Ding instr
this day of 20 nby
2
this day of20
U1 u a
- V
(Nameyf person aeknowled�Iing )
re of Notary Public- State of Florida )
Signature of
STATE OF FLOR
A
COUNTY OF
t`�'
o
o
The for Ding instr
ent was acknowledged before ml
2
this day of20
by
- V
,4 1=
(Name of 9,6rson acknowledging)
ature of Notary Public- State of Florida )
Personally Known �~ OR Produced IdentificationI Personally Known C.� oR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.EE "/ -7 (Seal)
Revised 07/15/2014
REVIEWSI FRONT I ZONING
COUNTER REVIEW
COMPLETE
INITIALS
Commission No. '^ ��� (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8996159 Date: 4/24/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX160421F*
Indoor Unit Model Number: AVPTC49D14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN
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, RI, 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: GSX16
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
Rated as follows in accordance with AHRI Standard 210/240-2008 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): 41500
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
* Ratings followed by an asterisk (`) indicate a voluntary rerate 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
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
of the product(s), or the
directory at www.ahrldlrectory.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;
111
61AMI.
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.
CERTIFICATE VERIFICATION
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified at www.ahrid 1recta ry,org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
we,nake life better"
which is fisted above, and the Certificate No., which is listed at bottom right (�
@2014 Air -Conditioning, Heating, and Refrigeration Institute f CERTIFICATE Na.: 7313752$3404579$09
Property Card
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 5201 EAGLE DR
Sec/Town/Range: 12/34S/39E
Map ID: 13/12S
Zoning: RS -4
Ownership
Jesus S Trevino
Barbara A Trevino
5201 Eagle Dr
Fort Pierce, FL 34951
Legal Description
HOLIDAY PINES S/D-PHASE II -B- LOT 257 (MAP 13/13N)
(OR 3332-779)
Current Values
Just/Market Value:
$126,000
Assessed Value:
$75,300
Exemptions:
$55,500
Taxable Value:
$19,800
Taxes for this parcel:
SLC Tax Collector's Office a
Download TRIM for this
parcel: Download PDF 19
Parcel ID: 1312-801-0060-000-8
Account #: 4501
Use Type: 0100
Jurisdiction: Saint Lucie County
TotalAreas
Finished/Under Air
1,876
(SF):
Gross Area (SF):
2,726
Land Size (acres):
0.25
Land Size (SF):
11,046
This information is believed to be correct at this time but it is subject to change and is not warranted.
O Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.
http://www.pasle. org/RECard/
4/24/2017