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HomeMy WebLinkAboutBuilding Permit ApplicationBUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982 772-452-1553 FAX 772-462-1578 AUTHORIZATION FORM FOR CREDIT CARD PAYMENT T0: St Lucie County Permit # Credit Card Users: 1.Sn/o Surcharge added per transaction. Payments must be received in this department by 4:00 PM for transaction to be processEetf that day, if not it will be processed the following business day. �f VISA MASTERCARD Credit Card Number 411501 SS 12-30 z..q (P(P Expiration Date 4= Zip Code 9 Lq C0 3 digit security code Amount $ + 1.5% surcharge Business Nar Authorized Si Print Name: Phone: - � 3 Fax: (% -) 2-��- i K Comments: SLCPDSD Revised 4/OV2010 EN ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/27/2017 Permit Number: - J I Ji i 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) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 6506 Lakeland BLVD Legal Description: LAKEWOOD PARK -UNIT 9- BLK 118 LOTS 11 AND 12 (MAP 13/01N) (OR 1171-904:1178-737) Property Tax ID #: 1301-611-0394-000-1 Site Plan Name: Yolanda Sullivan Project Name: Yolanda Sullivan Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Dight Side: Left Side: Lot No. Block No. Replacing like for like 2 ton Split system; Lennox 2 tan condenser 14ACXS024-230-16; Lennox 2 ton Air Handler CBX25UHV-024 with 5KW heat strip. CONSTRUCTION INFORMATION: itiona war to e e orme un ert lm III ec a apply: W1HVAC E] Gas Tank DGas Piping_ Shutters O Windows/Doors 0 Electric 0 Plumbing Sprinklers [ Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 2500.00 OWNER/LESSEE: Name Yolanda Sullivan S Ft. of First Floor: _ Utilities: Sewer []Septic Address:. 5506 Lakeland BLVD City: Ft. Pierce State: FL Zip Code: 34951 Fax: Phone No. 772-940-9594 E -Mail: yohm1774@gmail.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: James E Dupuis Building Height: Company: Jimmy's A/C & Refrigeration, Inc. Address: 46 43rd court City: Vero Beach State: FL Zip Code: 32968 Fax: 772-299-3184 Phone No. 772-562-8353 E -Mail: info@jimmysair.com State or County License: CAC18114821 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: , Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: : Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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. as Agent STATE OF FLORIDA COUNTY OF Indian Diver Ca•w�i re of Contractor/Lice STATE OF FLORIDA COUNTY OF Indian River The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of instrument_ I i 20 Ebythis Z' day of 'P"I 20 11 by James E Dupuis James E Dupuis (Name of person acknowledging) (Name of person acknowledging) e (Signat of Notary Public- State of Florida } (Signaturef otary Pu'b' State of Florida J Personally Known x OR Produced Identification Type of Identification Produced Personally Known x OR Produced Identification Type of Identification Produced Commission No. ►Rr {51 cca Feeley Commission No.AR I ebecca Feeley NOTARY PUBLIC OTARY PUBLIC o r� STATE OF FLORII Revised 07/15/2014 Corrkrk GG079874 'y Expires 3/6/2027 ' �,I 078874 E 19 Expires 3/6/2071 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 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: 7624687 date; 4127/2017 ��+ � �� ���� lam' Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACXS024-230A** Indoor Unit Model Number: CBX25UHV-024-230 * Manufacturer: LENNOX INDUSTRIES, INC.���� Trade/Brand name: LENNOX 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. Series name: MERIT 14ACX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. 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): 24000 EER Rating (Cooling): 13.00 r ,, 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 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 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 better - and enter the AHRI Certified Reference Numher 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.: 13137777$$31233633 Michelle Franklin, CFA --Saint Lucie County Property Appraiser—All rights reserved. SitcAddrtsw Parcol ID: Account M Map ID: Use Type: Zoning: City/County: Ownership Yolanda Sullivan 6506 Lakeland Be Fort Nato, FL 34951 Legal Description LAKEWOOD PARK -UNIT 9- BLK 118 LOTS 1 i AND 12 (MAP 13/01N) (OR 1171-9134:1178-737) Current Values JusuMarket Valuc: $93,100 Assessed Value: $65,938 Exeuy4ons: $40,938 Taxable Value: 575,000 Taxes for this parcel: SLCTax Colleeta's Office G Download TRIM for this parcel: Download PDF G Total Areas Finished/Under Air (SF): 1,150 Gross Area (SF): 2,161 Land Size (acres): 0.54 Land Sin (SF): 23.400 Dale: Book/Page Sale Code: Deed: Grantor: Price: Date: Book/Page Sale Code: Deed: Grantor: Prim Date: Bookmage: Sale Code: Deed: Grantor: Price: Date: Book/Page: Sale Code: Deed: Grantor. Price: Date: Book/Page: Sale Code: Deed: Grantor: Price: Property Identification 6506 LAKELAND BLVD 1301-611-0394040-1 2759 13/01N 0100 RS -4 Saint Lucie County Sale History Det 14, 1998 117810737 XX01 WD Yolanda Sullivan 5100 Sep S. 1998 1171 10904 Xxoo WD PatrickJ Grminn sio,000 May 1, 1985 046412247 xxol CY so May I, 1985 0464! 2246 XXOO CV 310,000 Sep I, 1980 0340/0381 XX00 CV 56,800 Building Information (1 of 1) Finished Area: 1,156 SF Gross Total Arca: 2, 101 SF Exterior Data View: Roof Cover. Fihrglss shg Roof Structure: Hip Building Type: HC Year Built 1999 Fac. Grade: C Effective Year: 1994 Primary Wall: CB Stucco Story Height: I Story No. Units: I Secondary Wall: Interior Data Bedrooms; 3 Electric: MAXIMUM Primary Int Wall: Full Baths: 2 1Ica[ Type: FPcdH KAir Avg HgtlFloor: 0 Half Baths: 0 Heat Fuel: ELEC Primary Floors: Carpet AIC %: lll0% Heated %: I(W° Sprinkled W N/A-/. Special Features and Yard Items Type: Permits DDriv-Cmcrct C98=124455 Issue Date: Jan 2R 1999 Qraantity: Residential New Construction 0 554,960 Fee: $54,960 Units; C 1607-0343 750 Apr 19, 2016 Description: Fence Year Built: s0 1999 so Type: WOOD FEN 6' Quantity: 0 Units: 180 Year Built: 1999 Current Year Values Current Values Breakdown Cutxe:nt Year Exemption Value Breakdown Building: 00 Tax Year Grant Year Code Description Amount Land: $15,800 5I5,8 2016 21100 0500 homestead Exemptiaa $25,000 JustiMarket: $93,100 Tax Year Grant Year Code Description Amount Ag Credit: $0 2016 2006 0550 Homestead Examptian over $ 50,000 $15,938 Save Our Homes or 10% Cap: $27,162 Assessed; 565,938 Exemption(s): 549,938 Taxablc: 525,000 Current Year Special Assessment Breakdown Start Year AssessCode Units Description Amount 2009 2009 12 Caonty Solid Waal. 52_52 06 This does rot necessarily represent the total Special Assemc. sats that could be charged against this preNrty. The total an -int charged for special assesstnenrs is reflected an the mass current tax statement and information is avaflable with the SLC Tax Collectar's Office Q Historical Values Notice: This data not rrecessarily rcprescnl all the permits for this property. Click the following link to check for additional permit data in Saint Lucia County This information is beFieved to be correct a1 this time but it is subject to change: and is not warranted, 0 Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved., Permits Number: C98=124455 Issue Date: Jan 2R 1999 Description: Residential New Construction Amount: 554,960 Fee: $54,960 Numbcr. C 1607-0343 Issue Date: Apr 19, 2016 Description: Fence Amount: s0 Fee: so Notice: This data not rrecessarily rcprescnl all the permits for this property. Click the following link to check for additional permit data in Saint Lucia County This information is beFieved to be correct a1 this time but it is subject to change: and is not warranted, 0 Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.,