Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
-I Ji WNIM
•
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]
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID #:I I — (0-1-3 —
Site Plan Name: Pu a I I rCl
Project Name:
Setbacks Front v Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
0C, f1 t- Clot fc,.Q. Sir' spli s-�e�n,
� � � C� 1'�Cl�-�-v� �--�..'
u_nrl ©x Ce�cc 2-� u,�t �c�42 .s ,� �f-hanc4 f .
euC_-�` C_ VwL S r i4D-
[tria
TRUCTION INFORMATION:
or to TIGas
orme un er t 1s permit — c ec a app y:
VAC Tank OGas Piping M
Shutters Q Windows Doors
Electric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: $
OWNER/LESSEE:
Name
S of First
jFloor: _
Utilities:Ft. Sewer 11
Address: I fZ
City: r Stater
Zip Code: A Fax:
Phone No.�� 2a
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: C
Company:
Address:
Building Height:
City: V Stater
Zip Code: Fax:
Phone No.
E -Mail: Yrk Of C(,[ r , (-,a vo
State or County License: r' 4 92.1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNE
Name: _
Address:
City:
Zip:
GINEER: _ Not Applicable
Phone:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Lip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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.
Signature of Owner/Lessee/Contactor as Agent for Owner
STATE OF FLORIDAAJ
COUNTY OF `
The fo going instru e t s acknowledge fore me
this T day of 20 ]by
{Name of person acknowledging )
<R
(Signature
State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Sea Amy Rebecca
NOTARY
Fi STATE O
Signature of Contractor/License Holder
STATE OF FLORIDAA
COUNTY OF aV4ef
The for oing instrument was acknowledged before me
this day of 20 � by
(Name of person acknowledging )
{Signature f tart' c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
"mission No. li .`rI)Rebecca Feeley
FLORIDA,n 'NOTARY PUBLIC
STATE OF FLORI
Revised 07/15/2014 ,.'''g�, Expires 3/6/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
VEGETATION SEATURTLE
REVIEW REVIEW
Expires 3/6/2027
MANGROVE
REVIEW
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: 10259412 Date: 04-04-2018 Model Status: Active
AHRI Type : RCU-A-CB
Series: ELITE EL16XC SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-042-230A**
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-042-230*+TDR
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, RI, 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.
The manufacturer of this LENNOX product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (9517), btuh : 42000
SEER: 16.00
EER (A2) -Single or High Stage (9517) :13.00 0�1
0�0
T"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selfng or offering for sale; OR new models that are being
marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI certification Program Participant is no longer producing BUT is still
selling or offer€ng for sale.
Roti that a e acco anie indica an .n luntary re -rate. The new published rng is shown alon with the iaus €.e. WAS atin .
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 an 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; dissem€Hated;
, ,
entered Into a computer database; or otherwise utilized, In any form or manner or by any meansexcept far the user's individualSimpersonal 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 make life better'"
which Is listed above, and the Certificate No., which is listed at bottom right. —
@2018Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: 131673352292255304
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
Site Address: 5816 KILLARNEY AVE
Sec/Town/Rang s: 12'34s/39E
Map PD: 13/12N
Znning: RS -4
Ownership
James Puglisi
Darien. Puglisi
5816 Killarney AVE
Fart Pierce, FL 34951
Legal Description
3 A3 LAKEWOOD PARK -UNIT l I. BLK 137 LOT 30 (MAP 13112N) (OR
Current Values
Parcel ID: 1301-613-0030-000.8
Account H; 3145
Use Type: 0100
Jurisdiction: Saint Lucie County
Just/Market value: $115,400
Assessed Value: 559,529
Exemptions: 535,029
Taxable Value: 524.500
Taxes for this parcel: SLC Tax Collector's omcc
Total Areas
Download TRIM for this parcel: Download PDF p
Finished/UnderAir (SF);
1,360
Cross Area (SF):
2,518
Land Size (acres):
0.24
Land Size (SF):
141,400
This information is believed to be correct at this time but it is subject to change and is not warranted.
C Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.