HomeMy WebLinkAboutBuilding Permit ApplicationMUST ALL AP7PLlC%A18�1NFP MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
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Date:
Permit Number:
Building Permit Application
Planning
and Development Services
Building and Code Regulation Division
2300 Vlrglnla Avenue, Fort pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578 Co , mmercialResidential
V/
P PERMITAPPL'C'
ERMIT APPLICATION FOR: To Select from dropbox, click here
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PRdPOS:tD1'N`PR'OVE:M . ... ...
PER
OPOS ENT LOCA''I'l
A
Address -
Legal Description.
Property Tax ID
Site Plan Name:
Lot No.
Project Name:
Block No,
Setbacks Front--. Back.,—. Right Side:. Left Side:
DETAILED DE'SCRIPT(ON OFMOt R`K'
Ce- b ke
CONSTR'' CTI-�1--'l�.��",INFbRMATibN'.
Itio or t
HVA e ne orme un er is permit —'c ec a app
Gas Tank E]Gas
Electric ElPlumbing
OSprinklers
Piping Shutters Windows/Doors
Generator Roof
Total Sq. Ft of Construction:
S
Cost of Construction. $%utilitlesT,
,
Ft of First Floor:
Sewer 1]
OWNER/LESSEE. --"-Septic Building Height:
Name
CONTRACTOR:, ,
Address:
Namet.
City: el"O State- J9�4_
�f fl
om ly: io CL
0 0
Zip Code- J 07 Fax:
City,-
(7
Phone No,
Zip Code,
Stater.
E -Mail.
Fill in fee simple Title Holder
Fax:
Phone No.
on next page If different
from the Owner listed above)
-Mail: 01MIC,
State or County License:
IT value of construction is $2500 or more, a RECORDED N ' of Commencerne.pt is requirgd
n mcmay�,o n (c5c f,,,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
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 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 thLe first inspection. If you intend to obtain financing, consul _withHeRde-n attorney before
co enci r<or recor I ur Notice of Commencemer
Signature of Owner/ Lessee/Agent
kl- C
STATE OF FLORIDA
A
COUNTY OF
a T
The f9 ring instru, n teras acknowledged before ng .?
F
this C� day of G - 20 �by
2 ' Ld'9
COUNTER
v r�
(Namepf person acknowledging )
`(Signature of Notary Public- State of Florida )
Personally Known i/ OR Produced identification
Type of Identification Produced I
Commission No.F`?'( (Seal)
Revised 07/15/2014
Signature of Contr�tor/License Hol
STATE OF FLOR A a�
COUNTY OF A -
z
4
The fgrgging instru nt�nras acknowledged before m
this day of Gtr 20 � by
32 0 0
.DO cr �c
(Name of p rson acknowledging)
/ � ##IIIJJJJrf
( ignature of Lary Public- State of Florida) $ `%t
J111114�3�
Personally Known L_�OR Produced Identification
Type of Identification Produced
Commission No. Qll (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
►nu.�i CERTIFIED°
www.ahritlirectory,ort�Certificate of Product Ratinas
AHRI Certified Reference Number: 7491516 Date: 7/6/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1436AC1
Indoor Unit Model Number: RH1T3617STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM; RUUD
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, Wl, 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:
Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, 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): 35600
EER Rating (Cooling); 12.50
SEER Rating (Cooling): 15.00
IEER Rating (Cooling):
Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an invo€untary 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 products) 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.ahridirectory.org.
TERMS AND CONDITIONS
Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andAs
�This
canfidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
entered into a computer database;
rul �IIM
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
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
we rnake lift better"'
which is listed above, and the Certificate No., which is listed at bottom right. -
@2014 Air -Conditioning, Heating, ant! Refrigeration Institute CERTIFICATE NO.:
131438291380424446
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved.
Site Address:
Parcel ID:
Account #;
Map ID:
Use Type:
Zoning:
city/county:
Ownership
Beverly Matsoukas (TR)
1470 5th CT
Vero Beach, FL 32460
Legal Description
OLEANDER PINES BLK I LOT 11.5 (0.25 AC} (OR 2946-1293; 3711-2111)
Current Va I ues
Just/Market Value:
$125,700
Assessed Value:
$125,700
Exemptions:
$0
Taxable Value.
$125,700
Taxes for this parcel: SLC Tex Colletwes Office 12
Download TRIM for this parcel: DO -1-d PDF 19
Total Areas
Finishc&Under Air (SF): 1,656
Gross Area (SF): 2,424
Land Sim (acres): 0.25
Land Size (SF); 10,840
Property Identification
6856 BRONTE CIR
3415-705-0116-0o0-3
130023
341155
0100
RS
Ssint Lucie County
This information is believed to be correct at this time but it is subject to cliange and isnot warranted.
C Copyright 2017 Saint Lucie County Property Appraiser. All rights. reserved,