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Building Permit Application
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATfCN TO BE ACCEPTED Date: Kermit Number: mein Building Permit Application Planning and Development Services Building and Code Regulation Division .2300 Vlrginla Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR; To Select from dropb , click here PR.,POSED IN'PRO7El1/IENT LOCA :.A TIQ.N Address: Legal Description: ,CI l(gl/ ef'l'tV/ Property Tax Iia Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: bI TA ILE�'DESCRlPTION OF WORK Zo CON STRU CTiO N`Yi NFO RMATlO N . A ditio t t"orktobpriprtormed under this permit --check all apply: HVAC Gas Tank Gas Piping Shutters 11Electric Plumbing Sprinklers Generator irk Lot No. Block No. cr c� c4se�'' Windows/Doors Roof Total Sq. Ft of Constructio Sq,I Ft. of First Floor: Cost of Construction: $ 735 • Utilities: Sewer —1 Se ptic Building Height: O1NN . IESSEE _ C ONTR;4C1"+DR: Name 1? L 1�L1/ E�tame:.�C,�lil i f .V 1. ill , Address:' . �Z�� /d-�gi'm j a y. ( �Ct �u,mh� 11 City: `'iC'r'� +tct`y Y c e:r s:{ �5, S Zip Coder Fax: I �,�, ( �r C�tY. �j`�� i'1 �i C��#"� . State: Phone No, �� - �' S'% _ . Z'. p Code: Q t_ Fax: E -Mail: P lone No: +-4 " �– �`7� 1 Fill in fee simple Title Holder on next page if different -Mail: r MC'r,-0 r C� n L from the Owner listed above) Sate or County License: rel L4g i_I-.^.. If value of construction is $2540 or more, a RECORDED Nof Cor_Mencement is re qu' d. SUPPLEMENTAL CO'NSTRUCTtaN L.I N LAIN INFOR MATION: DESIGNER/ENGINEER: Not Applicable MIORTGAGE COMPANY: Not Applicable Name: Name: Address: Andress: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE BOLDER: _ Not Applicable B+ NDING COMPANY: —Not Applicable Name: Name: Address: Address: City: CiJy: Zip: Phone: ZiT: Phone: certify that no work or installation has commenced prior to the issualnce of a permit. St. Lucie County makes no representation that is granting a permit willl authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rule§, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and reviQw your deed for any restrictions which may -apply. In consideration of the granting of this requested permit, I do hereby zgree 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 undergoin; a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen roons and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Co mencement 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 inspection. If you intend to obtain financing, consul n attorney before co enci r or recor ii ur Notice of Commencedn (_ _.,_� Signature of Owner/ Lessee/Agent 5igriature of Contr tar/License Holder' STATE OF FLORIDA v� ST TE OF FLORJDA � ,_ �• COUNTY Of , _` s r COIIJNTY OF L EQ The f rng instL-14,614 ,ru� was acknowledge before n The forgang instruren was acknowledged before m , this lay of yJ G 20 t1by Ld � this 1' day of t U 20 —2 by = ' '2 ,yrs+ ( �r-!y S� /��y} x � I f L7 aj-19 .i /(Signature f person acknowled ing)�` (Marie of rson acknowledging) W g g) S. A. �.. /flltlll�, ,� j of Notary Public- State of Florida) ( I nature of N�itay' Public- State of Florida) L,--' tllNP�\ Personally Known �OR Produced Identification Per ovally Known L/ � OR Produced Identi€ication Type of Identification Produced Typ'2 of Identification Produced Commission No. 1 (Seal) /` "I`7 Commission No. p` � �� -,� (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 1 CertifIIIIIIIIIIIIIicate of Product Ratings11111111 AHRI Certified Reference Number: 8242640 Date: 7118/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: GSZ140481K* Indoor Unit Model Number: ASPT59C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DIS i INCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Series name: GSZ14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP„ 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 ratir g accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 45000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh) @ 47 F: 44500 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 27600 Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, un ess accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no represent ations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damag:s 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 onlylor 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 Ir part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by a Zy 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.ahridire Anry,org, click on "Verify Certificate" link we make life better*° and enter the AHRI Certified Reference Number and the date on which the certificate vias issued, which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131448618562019785 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: Parcel ID; Account #: Map 1D: Usc Typc: Zoning: City/County: Ownership Damon C Pouyin Flodnda Poervat 9440 Meadowood DRApt 201 Fort Picnsc, FL 34951 Legal Description QUAIL RUN VILLAGE BLDG 2 UNIT 201 (OR 1716-2016: 3063-1292) Current Values ]ust/Market value: Assessed Value: Exemptions: Taxable Value: Taxes fur this parcel: SLC Tax CollmtoPs Office Ig Download TRIM for this parcel: Download FDF 17 Property Identification 9140 MEADO WOOD DR 201. 1127-703-0019-000-1 5127 11i27S D 1110 pint Lucie Counly Total Areas FinisheLbUrider fur (SF); Cross Area. (SF): Land Size (acres): Lamd Size (SF): 569,600 569,600 so 369,600 This information is believed to be correct at this time b at it is subject to change and is not warranted. 0 Copyright 2017 Saint Lucie County Prop-rty Appraiser. All rights. reserved.