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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l �7 �1 ((7Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 3498.2 Phone: (772) 452-1553 Fax: (772) 452-1578 Commercial Residential PERMIT APPL-ICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description: S."I 1 (C, a 4c air 4 Yn Property Tax ID #: `L) - J Site Plan Name: Project Name: Setbacks Front Back: 17-e el 7 61'e-7 -aro - (5sx /k)'q , h5 FT 3CIMAI E]HVAC 0 Electric 0 Plumbing - Nk Sa ZoJ-s 7 Sprinklers Il Shutters IGenerator Lot No. +?12i Block No. --r3 Windows/Doors Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ .3c -t ' a c . Utilities.� Sewer 1=1 Septic Building Height: Name Ln Ctrl(- SJmue Address:_NN . N' ' WY -4 'S City: 17 -- t'c' State: Zip Code:,3tf.���' Fax: 77�-���-�%S Phone No._1% -.�� E -Mail - Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: -_ j-, Pt, r"hCrn Company: Address: �Ve� Ave., City: { �res State; Zip Code: _ i s Fax: 72:, -YE �� -1 Phone No. - :2 -7-146Y-J 60( E -Mail: ALC -5(1 (A 1L- rh-( Ere A'70f, COL,1 State or County License: _LACOY16N If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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 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. i ature of Owner/ Agent Lessee STATE OF FLORIDA COUNTY OF f, +C'f� The forgo' g instru ent was acknowledged before me thiCJ s day of 20 by (Name of person acknowledging) M ature of Contractor/License Holder STATE OF FLORI COUNTY OF 41,111 . The fo ' g instr nt wasacknowledged before me this day of 20LDby c�Y (Dame of person acknowledging) (Signature of Notary � ' t FfOr (ignature of Nota- State r:c�gJ _ i Personally Known Prciluged, ication Personally Known ORS S?,,�'M&ntificj� Type of Identification d = = Type of Identification Produc4_ a ' a o Commission No. � � Commission No.NOWN Revised 07/15/2.014 1111Ilfl W��'` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in: between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 10206644 Date: 7127/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160241F* Indoor Unit Model Number: ASPT33C14A* 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, Hl, 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, Rl, 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 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 (13tuh): 23600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 LEER Rating (Cooling): Ratings f©ilowed 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 a$ 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 -I ONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTIiufE 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 make life better - which Is listed above, and the Certificate No., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute f CERTIFICATE NO.: 13145658035275102 Michelle Franklin, CFA W- Saint Lucie County Property Appraiser -- All rights reserved, Site Address: Parcel ID: Account #: MHp ID: Use Type: Zoning: City/Cmmty: Ownership Angelis 1 Dawley 1402 N 42nd St Fort Pima. FL 34947 Legal Description SUNLAND GARDENS -SECTION 4-13L.K 53 LOTS 7 AND 8 (0.66AC) (OR 1051-1773) Current Values Just/Market Value; $135,t00 Assessed Value: 5103,535 Exemptions: $50,000 Taxable Value: $53,535 Taxes for this parcel: SLC Tax Collectors Office 0 Download TRIM for this parcel: Download PDF Q Total Areas Finished/Undar Air (SF): 2363 Gross Area (SF): 3,274 Land Size (acres): 0,66 land Size (SF): 28,750 Property Identification 1492 N 42 ad RT 2406-506-0t074M-5 14744 24106N 0100 RS -4 Saint Lucie County This information is believed to be correct at this time but it is subject to change and is not warranted 40 Copyright 2017 Saint Lucie Couniy Property Appraiser All rights reserved.