HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLf I1 F9 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 k 01-75, 1 ) �tz_ - # Permit Number:
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
HOR
of
Legal Description: Gz,�ff_6�L C A _c J ff 0
Property Tax Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK..
tx/ 14 -P
0 1 C
CONSTR UCTION INFORMATION,
Additio'nal wort o be 'e'rtorme und e"r, th" is' permit — che& a I I t at appy:
LNHVAC Gas Tank Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof I -1 Roof pitch
Total Sq. Ft of Construction:
Cost of Construction.- $
:l ',
S. Ft. of First Floor:
Utilities; t Sewer Septic
OWNERAESSEE:
CONTRACTOR,
Name
Name: ,04_
Address: 1�1-1 G Sc' - C i
Company, f'V.f
L + Luc
City: State:
Address:` �AL) eckn+,
Qu- I
Zip Code: Fax:
Cit y:.,.Pc),r,4 luck State:
Phone No._'.�?'�= l 31 1
Zip Code: Fax-' �ll
E -Mail:
Phone No. I z �_71 _bw
Fill in fee Simple Title Holder on next page if different
E -Mail: 1,40
from the Owner listed above)
1,
State or County License-,
1Tvaiue0TconsTruc,uon is:>z.*Yuu or more, aKtLUK1Jt1J imotice off' Lommencement is required.
DESIGNER/ENGINEE�R: Not Applicable
MORTGAGE COMPANY: Not Applicable
Ilff.rum
Address:
city: State:
Zip: Phone—
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
CO.*
zip: Phone:
Name:
Address-,
City: State,,
Z i P;-, Phone:
0
BONDING COMPANY, __Not Applicable
Name.
Address:
City.
.—
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
comm en'ffitwork or nec-ordirijiz vour Notice of Com men ce mentr--____1,
Signature of Owner/ Lessee/Contractor as Agent for 0wrier Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'V ro 14-
COUNTY OF COUNTY OF "it �cf
The forgoing instrument was acknowledged before me
this �day of 20_/i by
Name of person making statement
Personally Known — X OR Produced Identification
Type of Identification
Produced
(Signature 6f.,,Notary Public- State of Florida
Seal)
da
Molt Bouchard
UM GG 179653
fti!142022
REVIEW S-_ FRONT ZONING
COUNTER REVIEW
'-1)ATF
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this7;� day of AUT_ 20J T
a by
1 n
Name of person making statement
Personally Known "A- OR Produced Identification
Type of Identification
Produced
yr
SUPERVISOR PLANS VEGETATION SEA TIJRTL_E-_NIANIGROVE
REVIEW REVIEW REVIEW REVIEW R �
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning.
City/County:
Ownership
Bernice M Burkarth
Robert P Burkarth
7211 Elyse Cir
Port St Lucie, FL 34952
Legal Description
RIVER'S EDGE BLK C THAT PART LOT 11 LYG SLY OF FOL DESC LI: FROM NE
COR LOT 11 RUN SELY ALG SWLY R/W ELYSE CIR 2 5.3 2 FT TO POB, T HW
180 FT M/L TO ST LUCIE RIVER ANDNLY OF FOL DESC LI: FROM SE COR
LOT 12, RUN NWLY ALG SWLY R/W ELYSE CIR 131.56 FT TO POB, TH S 49
DEG 14 MIN W 173 FT TO PT ON S LI LOT 11, T W TO ST LUCIE RIVER
(PARCEL 11 -C) (0.68 AQ (OR 1155-1879)
Current Values
Just/Market Value:
$631,500
Assessed Value:
$472,536
Exemptions:
$50,000
Taxable Value:
$422,536
Taxes for this parcel: SLC Tax Collector's Office 0
Download TRIM for this parcel: Download PDF 12
7211 ELYSE CIR
3416-801-0031-000-1
41602
34/16S
0100
RS -4
Saint Lucie County
Total Areas
Finished/Under Air (SF): 5,603
Gross Area (SF): 5,603
Land Size (acres): 0.68
Land Size (SF): 29,620.8
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
W
MIU I' 1t V� 1, 4 11 L10
AHRI Certified Reference Number: 201785374 Date : 07-05-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: GSX1 6
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package): S16421A*
Region Southeast and North (AL, AR, DC, DE, FL, GA, Hl, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
I& IN) KS, MA, ME, W, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, R111, SD, UT, VT, W/%, WV, Vo, 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 GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda I 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 (95F), biuh : 41000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling 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 offering for sale.
Ratings: that are accomr)anied bv WAS indicate an involuntary re -rate. The new published ratin
g h is shown alon withthe revious i. .
retina.
ME,
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 on this Certificate. AHM 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 Cevtificate. Certified ratings are valid only for models and configurations listed in the
directory at
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This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individua9, personal and
confidential reference purposes® The contents of this Certificate may not, in whole or m part, be reproduced; copied; disseminated; low
entered into a computer database; or otherwise utilized, in any form or nnanner or by any means, except for the user's individual,
personal and confidential reference. MR—COND11TIONING, HEATING,
CERTIFICATE VERIFICATION & REFROGERATIMN INSTITUTE
The information for the model cited on this certificate can be verified at a,,uww.a, h rid 1v9ctovy.owg,, click on link we make life bettee"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131752866956144543