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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: PROPOSED INPROVEME T LOC ION: Address: 03( nn Legal Description: CA- L Property Tax IDR: C) I '(-r-XD ' Lot No. Site Plan Name: (( y Project Name:,l Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: C7 u,) CONSTRUCTION INFORMATION: wor to ape orme un er t is permit- c ec a t at app y: 7itii9na [Mechanical _Gas Tank _Gas Piping _Shutters / _Windows/Doors _ Electric _ Plumbing _ Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5Etl;� Utilities: _Sewer _Septic Building Height: OWNE /LESSEE: CONTRACTOR: Name i i f�1ilJ Name: % A) Addr s: .� Company: City: State: _� Addrgbf ` Zip Code: Fax: City: rh e state: Phone No — Zip Code: Fax: 4- E-Mail: E-Mail: Phone No. d Fill in fee simple Title Holder on next page ( if different E-Mail V, U�K-4 State or County License: from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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. 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 commencine work or recording vnur Nntira of CnmmPnrom ant ;Iinatureofntractor/License a ure caner/Agent/ Lessee Holder STATE OF FLORID j COUNTY SL STATE OF FLORIDA OF l )Ct COUNTY OF 14 The f�o�Coing instr �ie;n�t ,w,l �s a.,c,know_ledged fore me this LZ day ofS20_(� The f r Ing instrut�t�nntt w s `a4knno�wledge efore me this l�I _�1�� }(',t�10—LOY AIA2i) � (Name of personackn ging ) (Name of person acknowle ) gra ure of Notary Public- State of Florida e nature of Notary Public- tate of Florida ) Personally KnownOR Produced Identification Personally Known OR Produced Identification Type of Identifrcat' Type of Identification Pro oyg P. �u sura W crorae Commission No.'7dIj 79677 -loftp Commission No. aI Bt9B�Sroroot Fl«Toa iltl6r0 y n i qa Expires 01/2&2022�omm a w� Expire Ort 072/79677 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED P%, Certificate of Product Ratin AHRI Certified Reference Number: 8627945 Date: 10-12-2018 Model Status : Active AHRI Type: RCU-A-CB Series:XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1 Indoor Unit Model Number (Evaporator and/or Air Handier): 'AM4AOB42S31+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 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 TRANE 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 : 39000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 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 omedng for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate The new Dublished retina is shown alono with the orevicus li a WAST ratina. 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 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 A On confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, EMM personal 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 wr• make life better^' 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 CERTIFICATE NO.: 131838470435345845 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Diane Soowal (TR) Lee Ann Goldberg (TR) 8318 Belfry PL Port Saint Lucie. FL 34986 Legal Description POD 28 AT THE RESERVE LOT 6 (OR 2932-1859; 3937-2303) Current Values Just/Market Value: $228,300 Assessed Value: $211,508 Exemptions: $75,500 Taxable Value: $136,008 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Property Identification 8318 Belfry PL 3327-701-0009-000-3 137306 33/33N 0100 PUD Saint Lucie County Total Areas Finished/Under Air (SF): 1,916 Gross Arca (SF): 2,671 Land Size (acres): 0.16 Land Size (SP): 7,056 This infonnation is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.