HomeMy WebLinkAboutbuilding Permit ApplicationmLL mFPLI isLE WO MUST BE CUMP[ETED FOR APrEIM i IUN t D BE HCCEP , Ea
Dpie: Pcrmii Mormoern
Building Permit Application
Planning and Development Services
8uildiny and Code Reyulation Division
23'119 v iryinio Avenue, Port Pierce rc 34:7az
}
Phone: (772) 462-1553 Fax: (772) 462-1578 uc;rn ercial RCS( Ent:Ial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Add ress:&I�L C3..r[` Pcc"'ct
Ceg_l Desaripiicn:l, 'M
Properly i a x iD m� 1 Lot No._Q!�_
site Plan Dame:, skk)�as ., 6iocR Ido.
Project Dame: - \
aetbacks Front 6aCRF: RigRt aide: Cert aiae:
DEI AILED DE5uRIP l 1uM uF wuRK:
Replace AC, exact change out with tun, '(n,5 SEER, KW AC unit
(,OIg5IRut.IIUN 119 FuRIVIA I IU19:
Additional work to e ertormea un ert ispermit—c ec a appy:
�AVAC aas unit ❑Gas Piping _aRuiters Qwinaa-,�Doo�,
Electric 0 Plumbing ❑aprinitlers Generator Root Root pitcR
oral aq. Ft of Construction: aq. FL. or First Floor:
Co,L pi COn,IRietil, 4: lC f Utilities: Sewer ElSeptic Building Height:
uw19 ER/1E55tE: l.ul9 I KAt.l uR:
Nam v�'_ "_Ca
Dame: Dan."ia 4aceK
ARS American Residential Services
CGt,-ac .�'C. Stater.
Address: 2800 US Hwy ,
Zip Code:, Fax:
City: veto CReacn state: FE
Phone Mo. Act_ • ; qa • ,�
_ _
cip Cone: szy6o F_:
E -(Glair.
PRon� IVo. 772 794-`-1 q
Fill L. iicc 3i ... pia i iue Raider on next page l if different
E -Mail: .i4x ,-�%OK\
from the Owner listed above)
state or County Eicense: L141ClY�:J/�3
If value of construCtion is $z3ouu or more, a RECUnDEE7 Roilce or Commencement is requlrea,
SUPPLEMEIQ IAL C:UN51 ftu IUIQ EIEN LAW AFURRIA I IUM
DESIGNER/ENGINEER: =Not Applicable
MORTGAGE COIOIPAIDr: = Mot Applicabie
Name:
Name:
Address:
Address:
City: State:
City: State:
Zit': Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Nur. Applicable
BONDING COMPANY: _Nut Applicable
lQame:
lvame:
Address:
Address:
City:
City:
yip: Phone:
Zip: Phone:
I certify tFiat no work or installatioa-, na. co.�nmenee0 p.IoF to tFlz i—aanee of a permit.
St. Cucie County makes no representation that Is granting a permit will authorize the -permit holder to build the subject strut Lure
which is in conflict .,,itli onx a plica6le Rome G�.,n�r. As9oclatl..n rale., 8,ia an
or cc-MM-n0-tt. -t mor r.,tri.t or p.on;alt ,ern
structure. Please consult wlt�your home Owners Association anti review your Cees Tor any restrictions wPlcll may apply.
In consrCreration or the granting of this requeste'o permit, I do hereby agree that I will, In all respects, perform the work
i.. uVeartonc� .aR tn� PFro-.C8 ploys, tRa Flaritla Sulltling Cotles anti 5t. Eucle County Amentiments.
The toE[oriing beild'.nb pa.mlt opplicutiv... are exempt Mom anUar6oing - teii eomee.�-ner Fe.IcR:..-ve- a8tlitien .,
accessory struCwres, swimming pools, rences, walls, signs, screen rooms and accessory uses to another non-residential use
WARMIICG 10 UvvMER: your failure to Recortl a IQotice or Commencement may result In your paying twice for
impruvemEnt5 to your property. A Notice of Commencement mutt be recorded and posted on the Jub;ite
before the first inspection. If you intent] to ODiain financing. consult with lender or an attorney before
commencing work or record ing_+our Notice of Commencement.
_ wgnature or O ,er/ Cessee/Agent
STATE OF FLORIDA
COUNTY OF :.r—ev
The forgoing instrument was acknowledged before me
tnl, ao, erAQ-mA t0' ,p,
awrim . a
nB)
State
Personally Known � OR Protlucetl IQentirication
ype of Identification Produced
Commission r�o. iY - -�0 (Seal)
Revised 07/15/ MY CuR114115s1vA x ZNG071535
Gt'p1Rr_c r-..l,rnLnri 09. 2021
51gnatare at cant. ddrgl=mir Roitlrr
STATE OF FLORIDA
CUOR i r OF sit.:.
The forgoing Instrument was acknowledged before me
this 1Iay of . t...7 c0 OB Dy
Dennl wk
(14 me i peFwU-Pa"'
gin -s )
i� -
sn cot IV5tote of Florii3a
Personally Known x OR Produced Identification
I rpe of In.rltirre..tia.. P.oaae=n j
Commission No.LL � q�eali
Icy CuR MIZi5iON # 00071535
ERRIREN F&Bm..n; 09, Z021
REVIEWS
1,P p.
FRON I
COVIQrER
-
7017117=71
REVIEW
PERVISOR PGRIQ�,
REVIEW REVIEW
MANGROVE
REVIEW
VM3t I A 111-014
REVIEW
JtA I UK I Lt
REVIEW
DAIL
COMPLETE
INITIALS
Michelle Franklin; CFA -- Saint Lucie County Property Rppreiior -- All riwhta rau-=rvea.
Property IflendficaLion
Site Address:
rarcei w:
Account #:
lvtap lu:
Use 7 y yc:
z.oning:
Layrtroe,.ty:
Ownership
Ce- A-: r mm
8258 Mz;Eaw.-.vase PI
Pon St Lucie, FL 347az
Legal Debcript.ion
LAKE LuCIE r.a 1At rS PLAT nu. ONE LOT 124 (OR 1247-1468)
Currem values
Just/Market Value: $140,400
A=V=0 V..Iwe: 384,193
Exemptions: 550,000
iaxaBle varve: s3;,193
tar .his pu,ucl: SLC Tax Collectors Office 0
vownloaa j julvi jor alis parcel: De- :[v_8 rur 0
8138 MAIDENCANE PL
3426-703-0138-000-1
It5744
,4-763
0100
PUD
S..:nt L-zr.= Coeety
Total Areas
I- Ar (5h): 1.439
Gross area t'sr I: 2,509
0.13
Land Size (SF1: 5,517
1 n:w :nla.—wt:eR t3 net:e—e13 to 6r c- .ect at mia tt-v 6:.t :t :o .=;.t to ch 4.sc M0 is nV7 :.anrWrI'v-1.
�" Epyrisht 1018 aiair.t Luce Canty Property Appraiser. All .-Ishts ruserved.
I Its comMination quaiines for a FeUeral Energy Etnciency tax Crean when
. PI.Cr2l in .wfpriva Ov=-5 Fab i t,z009 aria Dec 31, 2016.
CERTIFIE,
Gediticate of Product Ratings
ARRI 4erthleC Reference Number: 9156149 Date: 07-06-201B Mo'uel btatus : Active
mMRI i ype : HRUv-AZB
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number kCondenser or Single Packave) : zJJnvD'v33A'031'
Indoor Unit Model Number iEvaporator andlor Air Handlers : FV4CNtB,FJ0Z5L
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Rated as follows in accorUance wiC1 ule latest eEition of ANSIIAHRI 2101240 with Addenda 1 and z, PeRormance Rating oT Unitary
Air -Conditioning & Air -Source Seat Pump EcIaipment and oe5jeot to Ibting oeezme y by AHRI-npe�zaza, im8cp.ndQnt, third party te.,ling
Fooling Capacity [A2) - Single or HIgll Stage (9sF), 61uR : 36400
5EER : 16.00
EER (Az) - Single or rtigll Stage (95F) : 13.00
Heating Capacity iM te) - Single or RlgR Stage 147r): 35400
H5PF (Region Iv): 9.00
I
P
T-Adiv: Modal St-tu= or thr■ that on AHRI Cartlfiaatlan Progmrn P-rtUpant I, ee,.zridy predecing AND.,,, Ing or ofloring fo, 4ule; OR nen models ;ha; — being
marketed but are not yet being produced: Production Stopped' Model Status are those that an AHRI Certifcaton Program Participant is no longer producing BUT is still
salla ,y1 or offori .g f T s..le.
Ratings that ora ar corr Danied t:'v YPA5 The rWwVAl1sl11jpd -4In Is shown a •s^a wilh the prevlouw 0 e. W..5) rarinq.
AHRI d■■e e.t end■fee the predust(a) 11 --ted an thin C.nifi—to vnd makes n■ ropr=vm tlan., -a"aRllcs ar ge..rwm.— — w, and -camas no .esponslbllity;ar,
the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use ■r p■rf■rrn_n-e of thm pr■du■tto), ■r the
an..mbarl...d al.areelon of d...a Ila;aa on u.is eorda.-ea, ccriiiiaa ra;ings arc Tallo only or moQuis anu cunngaranans llsiaa in iiia
director at—...hrldir-ct■q.■rg.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary pwdrlcts of AHRI. Thi: C■rilfi—l. eh.11 ■nl,- be ■=■d f■r Indl:id=al, peresnal and
conapaniial rosorenaa porpows. -o-5c wn.ants ar t,rls Certificate may not, In whole or in part. be reproduced; copied; disseminated;
e :tared Into - ■umi oter d-taba,a; ■r ethanrime etill.ed, In any fen" or m..nncr or by any moans, c,..ap; fa: The agar's Indi:idu..i,
personal and confidential reference. AIR-CONDITIONING, HFATIN0,
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click an `Verify Certificate' link
sed c. -.ear the AHRI Certified Rcfarenee Nambar and the data on which ;lie cc�mNcam M3I—sea,
which Is listed above, and the Certificate No., _high ie Iiet_d at b-tt=m rivit.
'v�zU laAW-ConUltloning, Fearing, an'a Refrigeration Insi,wle CERTIFICATE NO.: 131753700641654506