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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virg inio Avenue,Fort Pierce FL 34992
Phone: (772)462-1553 Fax:. (772)462-1578 COM erciai Residential
PERMIT APPLICATION FOR: Mechanical
Pfit PaSEQ11VPROV 1MENT LOCATION.. , W yy
Address: tL L7 j►4.711 �L' S Pr P1'� . Lucr e FL 3ggF(Co
Legal Description: Lot 1 COR jc�7
Property Tax ID#: J7 L 2— - Lot No._�!
Site Plan Name: Block No.
Project Name: M We •
Setbacks Front Back: Right Sid . Left Side:
QETAILEQ,DESCRI#PTION_OF' WORK. _
C90D M 0'RP1q(,pD A 3JtiA S*W 1vl-7z 92 ,.
AV M-e1 4 r&0,?q 57 _TA 5'Fk'1 q2
CONSTRUCTION INFORM ATION: Air
°
Additional work to lo
( rtormea un er this permit--chelck al app y:
W]HVAC L_J Gas Tank Gas Piping _Shutters a Windows/Doors
1-1 Electric ❑ Plumbing OSprinklers El Generator E Roof
Total Sq. Ft of Construction: 5gI4 6rus5 a(o otu S . Ft. of First Floor:
d�7
Cost of Construction:$ LP• utili ies: _Sewer 0 Septic Building Height:
CONTRACTOP x . ..
'.C�Ih1NERJ'LtSSEE• � ` ray.,. -
Name LD M t' i Name: eCr`1&4 0-IA)Ct,f_'—Z .
Address: I Dl20 1 iv VerA)f-55 W Company: ProMag Energy Group Heating&A/C
City: P-�_. 5f' tloe-£ State:FL Address: 4205 112 Metzger Road
Zip Code: 34964o Fax: City.. Ft. Pierce State:FL
Phone No. Z03 r)00— 4P 5_ Zip Code: 34947 Fax: 772-252-4831
E-Mail: Phone No. 772-467-3227
FilI in fee simple Title Holder on next page (if different E-Mail: Slit" ' Cw
from the Owner listed above) State or County License: CMCA#48033
If value of construction is$2500 or more,a RECORDED Notice f Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INF 3RMATION:
DESIGNERJENGINEER: Not Applicable MORTGAGE COMPANY: �C Not Applicable
Name: Name:
Address: Address:
State: City: State:
City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby ade 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 is in conflict with any applicable Home Owners Associatior rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association an 1 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 and rgoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,scree i rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice f 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 finz ncing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5t. LVGI£ COUNTY OF S! L�--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of ,20 by this 9 day of N- 200:0by
LooI 5 CX)me-27, LoUi S 60rne�
(Name person acknowledging (Name ofrson acknowledging)
(Signature of Notary Public-State of For a i (Signature of Notary Public-State of Florid
Personally Known )64Xx OR Produced Identification Personally Known xxxxx OR Produced Identification
Type of Identification Produced on
T pe of Identification Produced_
,� }" e��L U s&GOMEZ mmission No. �� aI LOUI55.GOMEZ
Commission No. (S1V�TGOMMISSIONtFF22T 2 =,. �Y(XMSSlONIfF22
i EXPIRES:May 5,2019 ri = EXPIRES:May 5,2019
� �'�f PuhMc lhid
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
� R 11 ■
or
Certificate of Product Ratings
AHRI Certified Reference Number: 7489184 Date: 5/3/2017
Product: Split System: Heat Pump with Remote Outd or Unit-Air-Source
Outdoor Unit Model Number: RP1460AJ1
Indoor Unit Model Number: RH1T6024STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM; RUUD
Series name:
Manufacturer responsible for the rating of this syste combination is RHEEM SALES COMPANY, INC.
Rated as follows in accordance with AHRI Standard '10/240-2008 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): 56500
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 57000
Region IV HSPF Rating (Heating): 9.00
Heating Capacity(Btuh) @ 17 F: 35800
'Ratings followed by an asterisk(')indicate a voluntary rerate of previously published<ata,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 am ages 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 v id 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.a hridirectory.org,click on"Verify Certificate"link ,;ak"lit,Mc-ter,
and enter the AHRI Certified Reference Number and the date on which the cert ficate was issued,
which is listed above,and the Certificate No.,which is listed at bottom right.
©2014 Air-Conditioning, Heating,and Refrigeration Institu a CERTIFICATE NO.: 131383087562105740
Michelle Franklin,CFA--Saint Lucie County Property Appraiser--All rights reserved.
Property Identification
Sile Address: 10120INVERNESS WAY
Parcel ID: 3321-802-0007-WO-6
Account#: 35s91
Map ID: 33/22S
Use Type: 1)1W
Zoning: PUD
City/County: Saint Lucic County
iii9ii(Ili'�I'.I, t
o
i p11i�illlM
il.Ih .
Ownershiplil,li„d� III>.I:.
Donald!Miceli
Catherine A Miceli
101201 nvernesa WAY
Pori Sl Lucie.FL 34986 _
Legal Description
C.ALLAWAY PLACE LOT I(OR 163(r1020) ak- t-Y4
Current Values ` �-
Just/Market Value: S308,800
Assessed Value: S289,530 ' P.
Ezemplinns: SO
Taxable Value: 5288,531 -
Taxes fot this parcel: SLC Tux Collector',Ofliec O
Download TRIM for this parcel:Doo nload PDF U -
Total Areas
Finished/Under Air(SF): 2-630
Gross Area(SF): 5A14
Land Size(acres): 0,36
Land Size(SF): 15,536
This information is believed to be conect alibis litne but it is subject to change and is not W wrnnled.
�Copyright 2017 Saint Lucie Cuvn y Property Appraiser.All rights reserved.