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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.