HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Caur4TY'
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 ResIden fiW
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
------------
PIRO ENT LOCATION.
M0P0$FDJM VtM
T
Address: qC 'I v� rs, A --v e_ v I
_7
Legal Description:
Property Tax ID #: 2.4 0 (D Lot No.
Site Plan Name: Block No.
Prosect Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
Un
OX, 2
_s
CONSTRUCTION INFORMATION*
Addi,fl65il workto be in) 'r'torm-ed un ert is Permit -c c all apply:
W-04"
ry I Gas Tank Gas Piping Shutters
HVA 11 Windows/Doors
EjElectric Plumbing Sprinklers Generator 1:1 Roof I .] Roof pitch
Total Sq. Ft of Construction:
Cost of Construction:$ q 4 %
er
S�. Ft. of First Floor:
Utilities: Sewer _ Septic
OWNERAESSEE.
CONTRACTOR.
Name
Name - f) 4 ax
Address: LIOTCk i'l C-�N R_ C' 0--e.. AA
Company:.��e��� AC Ser,v*ic-ie_,4 LL C
C - NL 01
j CI. 11 -
City: F+i L' State:
Address: 5S2. J(�) L
403q 01% ---
Zip Code: Fax:
city: o.(4- S�-, J_U C state:
Phone No.
3 11
'17) __19q S
Zip Code: 3q9 Fax: ,,
E -Mail:
Phone No. '72Z—
Fill in fee simple Title Holder on next page if different
E -Mail: (40 Cc! /'r I
from the Owner listed above)
State or County License: (.17. AC I% I "16 a3
If value of construction is 52500 or more,, a RECORDED Notice of Commencement is required.
SUPPLEij-'V EN,! ALCONSTRUCTION. LIEN LAW INFORI!NIATION
DESIGNER/ENGINEERO- Not ApplicableWiCFI1MA4 Eft Not Appkab� e
Name: Name:
Address:—,--- Address State D
City: State: clity..
Zip Phone zip: Phone.
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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. LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflii
e
ct 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
e
cot mencin.g w
ml or recording,our Notice of Commencemyj�.
Signature of Owner/ Lessee/Contractor as Agent for 0�jner
STATE OF FLORIDA
COUNTY OF
The forDing instrument was acknowledged before me
this day of b2 0 b Y
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
,(Signature of 1916tary Public- State of Florida )
al)
Daniel 906496
i;%
Signaturof Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
20 by
this ]±�_day of
LAI
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub 'c= State of Florida )
Comm
NDtWy pttboo SiMe of FWWS a
MiWeile Daniel
,g My CommissionFr=906496
7E - V'kV?28M" FRONT _ N G SUPERVISOR PLAIN VE SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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
Claudia Z Sargent (T R)
465 SE Naranja Ave
Port St Lucie, FL 34983
Legal Description
MARAVILLA GARDENS S/D-UNIT THREE- PART OF LOTS 184 AND 185
MPDAF: BEGAT INT OF N R/W TANGELO TERRAND E R/W MAYFLOWER
RD, TH ELYALG SD N R/W 863.49 FT, TH NLY H TO MAYFLOWER RD 217FT,
TH WLY H TO N LI LOT 185 63 FT,, TH NLY H TO MAYFLOWER RD 127.01 FT,
TH WLYALGN LI LOT 185 800.49 FT TO E R/W MAYFLOWERRD, TH SLY
ALG SD E R/W 344.01 FTTO POB (6.64 AQ (OR 426-690: 2620-2677)
Current Values
Just/Market Value: $1,334,800
Assessed Value: $1,210,660
Exemptions: $0
Taxable Value: $1,210,660
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
3221 S US HIGHWAY 1
2427-601-0066-000-2
31648
24/27N
2800
CO
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1
Gross Area (SF): I
Land Size (acres): 6.57
Land Size (SF): 286,405
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.
AHRI Certified Reference Number: 201629759 Date : 10-09-2018 Model Status: Active
Old AHRI Reference Number: 7470160
AHRI Type: HSP -A
Series: GPH14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package): GPH1430M41A*
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 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 (95F), btuh : 28600
SEER: 14.00
EER (A2) - Single or High Stage (9517): 11.00
Heating Capacity (H12) - Single or High Stage (4717) : 28000
HSPF (Region IV): 8.00
(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 ,Ihgt are accompanied by WAS indicate an involunta.ry re -rate. The new published ratin.g is shown along with the previous (i.e. WAS rating.
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. 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 %,v,,siiw.a h rid I rectory.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; A14RI
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-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRRGELATION INSTITUTE
The information for the model cited on this certificate can be verified at Glick on "Voirify a-Cl'Icrtificate" link '
we make 11f e better"m
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.
@2018Air-Conditioning, Heating, and Refrigeration Institute ICERTIFICATE NO.: 131835860242683066
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