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Home My WebLink AboutCHANGE OUT FORM - KROHNALL 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, !:or t 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 P RO-POSED1M PROVE WtE NT LOCAT150N. A d' re : ss(I o, d Q S 0 Legal Description: C a' + 1, coniic"� 01 in -n (.ek, o -e- T I- 7S eL,. Property Tax ID #: a)e.. Lot Site Plan Name: Block No. Project Name: Setbacks Front Back.- Right Side.: U,21ft Side-, DETAILED DESCRIPTIO-N, OF WORK. 4_ 5 + T N WFORMATIONr oerformed un r tFs' c ec perff-it c- k al-l" apply: !I HVAC heGasTank Gas piping Suttrs Windows/Doors Electric Plumbing Sprinklers Generator Roof E: Roof pitch Total Sq. Ft of Construction: 0 Cost of Construction $ 43 00 0 .- Sc. Ft. of First Floor: Utilities: Sewer Septic Building Height-. r"""E''R/tESSELE" CO N 7t, Name roi-T, n Maine' Address: V 2-4;;9 C0_,rJ()0U 9-j,9 fity: 4 �4 C,�,State:�F� i -Sq 9 Zip Code: Fax: Phone No. 0 Y— 6 V Y3 s E-Mail: Fill in fee simple Title Holder on next page ( 'if different from the Owner listed above) �(17ORi' Company-, Address: 532- city: _.Po,,(,4 b.jAl C State.-, Z'IpCodel-, 8q -3s 11 Phone No. 'I E - M a i 1: _1 04. 0 ee 4, V O'C'S-e'r V, J , C.-("; C-0 /on State or County License: CAC I V 16.13 If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required. 7`7 `7 0"A D t:SIGNER/ENGINEER, Not Applicable Name: Address: Citv:,- Zi p: Phone State: FEE SIMPLE TITLE HOLDER: Not Applicable Name. Address: City "'; — zip: ------Phone-, MORTGAGE COMPANY: Not Applicable Name: Address: & I? City. State. zip: Phone:.---. BONDING COMPANY. N ot A p p c V I e Name: Address: city. � Zip: Phone: OWNER/ CONTRACTOR AFFIDVITO. 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 ermit holder to build the subject structure which Is 'in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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 wo& or recording -your Notice of Commencemenf "`--- Signature ofwner)Les SOr1__P_5_______ I see/Contractor as Agent for Owner Signaturk/of Contractor/License Holder STATE OF FLORIDA P C"', I STATE OF FLORIDA COUNTY OF �,c COUNTY of Theforgoing instrument was acknowledged before me this day of �U��l� 26_ft by Name of person making statement Personally Known X OR Produced Identification Type of identification Produced ,(Signature of 56"tary Public- State of Florida ) The forgoing Instrument was acknowledged before me this day of 20 avw 61A L�J by lay{ I' I f) Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Pub Kf- State of Florida "W IV 0 0 al) Com si Wtafy pWojo 0 ot FWWS al) mwhg0o, Daniel micheoe Daniel F 906496 My COMM111SIon FF 2004, 6 F ne-W20 A401,*- DJ VEGETATION Z_ REVIEW REVIEW REVIEW REVIEW 141111 1111'' A�, -A- A� -AL_ AJr AL -A _t in 4WtF**4 - I �. I �r I ork RE RON ING SUPERVISOR PLAN ETATION SEA TURTLE MANGROVE r C COU T REVIEW REVIEW OUNTER DATE RECEIVED I COMPLETED Rev. 8/2/17 tq EL U61t7a I r AHRI Certified Reference Number: 201407615 Date: 07-09-2019 Model Status: Active Old AHRI Reference Number: 8631966 AHRI Type: RCU-A-C[ Series: GSX14 Outdoor Unit Brand k' arne : GOODFMAnN] Outdoor Anil Model Number (Condenser or Single Package): GS)(140241L* indoor Unit Model Number (Evaporator and/or Air Handier): AWUF25XX16A* Region Southeast and Njort1h (AL, AR, DC, DE, FL, GA, Hl, KY, LA, MD, MS, NC, OK, SC, TN, TX,, VA, AK, CO, rrl-.T, 0, lL, 1A, lN, KS, MA, ME, W, KAN, MOJMIT, ND, VIE, NH, NJ, NY, OH, OR, PA, Rl, SD, UT, VT, WA, WV, Wl, `,Aff, 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 ,vl,!hich they rneet 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), btuh -. 22000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rata. The new oublished ratina mis shown alan with the evious, mi-mej DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as Io, aiind assujrunes no Eresponsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising atut of the use or pe rforma ince of 'vitae pMduct(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed mt the t.' directory , q 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; entered into a computer database; or otherwise utilized, in any fore or rntanner or by any rineans, except for the user's, individual, hi personal and confidential reference. CERTIFICATE VERIFICATION Z,,! REEFRIGERPSOF2,10N 21NISTIC' UNE The information for the model cited on this certificate can he verified at www.ah,0click on link eL we make life e bAerlll 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. @2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132071560457329499 CFA — Sahnit'Ludics- County Properdvy Appraiis, enr —z fl, dicutIt re, set ,n/fca,,,d Sit eAddress: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: ChAks Ln if- 2 Ph 00 r1p, E&nimd L Krohn Donna K Krohn 5508 Cara CT Dublin, OH 43016 Legal Description CASTLE PINES CONDOMINIUM (OR 1810-47 1) PHASE III UNIT 3 812 (OR 3726-1744) Current Values just/M arket Value: $107,600 Assessed Value: $100,980 Exemptions: $0 Taxable Value: $100,980 Taxes for this parcel: SEC TaX, Collector's Office '0 Download TRIM for this parcel: Dommload PDF ®R 8026 Camoustie PL 3812 3327-502-0162-000-7 152084 33/27N 0400 AR-1 - CO Saint Lucie County 9 17F (D fy I Finished/Under Air (SF'): 1,312 (Gross Sketched Area (SF): 1,761 Land Size (acres): 0.02 ,an Size (SF): 1,000 All information is believed to be correct at this time, but is subject t® change and is provided without any mrarranty. Oc Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.