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Home My WebLink AboutCHANGE OUT FORM - CAYMENALL 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" To Select from dropbox, click arrow at the end of line Address: AD Legal Description: NT LOCATION— Lu - S2 ot . Property Tax ID LNo Site Plan Name: Block No. -0 Project Name.* oj Setbacks Front Back: Right Sid;'�_� Left Side, D DETAItEl) ESCR[PTIGN'QF WORK- lo -f LESSE,E: CGNTRAC.. R Name 10-7 na w. Nc ame: k n r , Address: 3r-ejL( Company: AC S�V 1LL32 city: Co '�j State.C-A Address:53*2- �Q,(-I �!,_ eL C 15'30 1 Zip Code: Fax. luc k'c sL_ city: tat Phone No. q2�01 - 2_Q s- Zip Code- 3qq 3q ,3!s I I I Fax. E-Mail: Phone No. "22Z -7 1 Fill in fee 31mple Title Holder on next page if different E-Mail: �+ � �� .� A ` p . from the Owner listed above) State or County License: if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: J A A1 � J ORTA U ' t 1, F J� rN ........ ... INOT liCaDie Name: Address: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address. City: Zip: Phone: Not App'Hcwb,11,e Name: Address'., City: State: zipo- Phone -, 8ON`,,;Nrffi ,�� , , Pff,,%,HV,0D 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. iuce Countymakes no representation that is granting a r%,nrmit will authorize the permit holder to build the subject structure whch Is in conflict With any applicable Home Owners Assocr�'tion rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and revie'w 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 0 E JOB SITE BEFORE THE FIRST INSPECTION. IF W 1"NTE D TO OBTAIN FINANCING, CONSULT -1" J NOTICE WITH POSTED LENDER OR AN &TTORNEY BEFORE RECORDING YOJR NOTICE dF COMMENCEMENTs Signature of Otvner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF�b+'4" ��-)UC-r-j2...-. Signature of Contractor/License Holder STATE OF FLORIDA C" COUNTY OF I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20ja by thii3l day of 3'0�dg 20 1q, by 16 n Airy", V Name of person making statement. Name of person making statement. Personally Known —A OR Produced Identification Type of Identification Produced (S* igna 00 Notary Public State of Florida JP 0 Jennifer I Aguiar Commi 1#4 S-11-11,1611-CommissiGA G 33987ISea Expires 06/2912023 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. 2///19 A Personally Known OR Produced Identification Type of Identification Produced MID n,c a it. 5mftm Notary Public State of Florida 0 NNI Jennifer I Aquiar RA i"4,ft (Seal) 339871 w. , VC Expires 05/2912023 1 SUPERMISOR I PLANS I VEGETATION SEA TURTLE MANGROVE R FEEV � E W REVIEW REVIEW REVIEW R rc` VI E V P,1�$A/Ifl,,chcaHic FrankHm, CFA-- Sa'0,Lud a County Prop sill)lf A ppra I so r -,45J, ricqh,,s re a, i�ved. Site Address: Parcel ID: Account Map 1JD- Use Type: Zoning: City/County: Own e rsh ip Lodge Properties III LLC % SN Servicing Corporation 323 Fifth St Eureka, CA 95501 Legal Description 10 37 38 E 3/8 OF W 5/8 S 1/2 OF N 1/2 OF SVV 1/4- LESSN 60 FT & LESS W 159 FT- & S 30 FT OF N 90 FT OF SW 1/4 OF NW 1/4 OF SW 1/4- LESS W 190 FT- & S 30 FT OF N 90 FT OF W 159 FT OF SE 1/4 OF NW 1/4 OF SW 1/4 & E 30 FT OF W 190 FT OF S 360 FT OF N 450 FT & E 60 FT OF W 160 FT OF S 150 FT OF N 450 FT OF SW 1/4 OF NW 1/4 OF SW 11/4- (12.41 AQ Current Values just/Market Value: $260,500 Assessed Value- $178,607 Exemptions: $50,000 Taxable Value: $128,607 Property taxes are subject to change upon change of ownership. • Past taxed P-Tre not a reliabRe projection of future taxes. • The sale of a property wild pz-ompt the removal of all exemptions, assessment cnps, and special c�,%sAflcnflons. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 nri 'dERK, amdoo R 1.0880 Carlton RDI, 4210-323-0002-000-3 117003 42/09X 0100 AG-5 Saint Lucie County ........ ...... Total Areas Finished/Under Air (SF): 1,839 Gross Sketched Area (SF): 3,622 Land Size (acres): 12,41 Land Size (SF): 540,579.6 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. CO Copyright 2019 Saint Lucie County Property Appraiser. All, rights reserved. TMVW- i 91 0 W _AML_ - -ALM ILII�L7A�'Illllllll MLX AHRI Certified Reference Number: 9507415 Date: 07-31-2019 Model Status: Active AHRD Type: RCU-A-CB Series: 14 SEER W SERlES R41 OA AC Outdoor Unit Brand Name: GP- ANMRE Outdoor Unit Model Number (Condenser or Single Package): WCA4424GKA** Moor Unit Model Number (Evaporator and/or Ar Handler) : Vk/APL424A* Region Southeast and North (AL, AR, DC, DE, FL, GA, H1, LA, MD, MS, NC, OK, SC, TN, TX1, VA, AK, CO, CT, lD, L, lA,111N, KS, MA, ME, M1, WiN, MO, MT, ND, NE, NH, NJ, NNY, OH, OR, PA, M, SD, UT, VT, WA, WV, W. , VVY, 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 vvhi,ch they meet the regional efficiency requirement. The manufacturer of this GRANDAIRE product is responsibie for the rating of this system combination. Rated as follovqs in accordance Mith the latest edition of ANSIBkHRI 210/240 with Addenda I and 2, Performance Rating of Unitary Air -Conditioning 8h Air -Source Heat Pump Equipment and subject to rating accuracy by AHR-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage, (95F), btuh - 39500 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 accomDanied bv WAS indicate an involuntary re rate The new Dublished rating,is shown along with -the previous (.e. WAS)_rc 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 Habflity 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.ahrid!rectory.org. TERMS AND CONDITIONS IRA This Certificate and its contents are proprietary products of AHRL This Certificate shall only lbe used for inc.HviduMl, personal and confidential reference purposes. The contents of this Certificate may noes, in �uifhole or in paEl, be reproduced; copied; disserrdnated; low US entered into a computer database; or otherwise utilized, in any form orv, mainner or by any means, except for the user's individual,,, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be vgvffiPd at %,--:,,2cll._ �,!---,;,,-if: -,' 1-a-yg, dick on "Verify Co-R-vf-00,atr_,",1ink we makei life bc�tte- t� 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 botttorrn right. @2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132090616161451886 P AHRI Certified Reference Number: 9507415 Date: 07-31-2019 Model Status: Active AHRI Type: RCU-A-CS Series: 14 SEER W SERIES R410A AC Outdoor Uni'l'.1. Brand Name : GR/AV\\1DAlRE Outdoor Unit K4,odei Number (Condenser or Single Package): WYCA4424GKA** Indoor Unit '�\Jlodel Dumber (Evaporator and/or Air Handier): VW,-1,PL424A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hi, KY, LA,'h,\AD, WMIS, SIC, OK, SC, TN, TX, VA, AK, CO, CT, ID, iL, iA, IN, KS-, MA, ME, Mil, IMN, MO, MT, ND, NE, NH, NJ, V\111Y, OH, OR, PA, Ri, SMID,, UT, VT, WA, VVV, Wl, Wt(, U-S, Territories) Region Note Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed ii,,i aIl regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed lin, region(s) for which they meet the regional efficiency requirement. The manufacturer of this GMNDArRE product is responsible for the rating of this system combination. Rated as follows in accordance wi-,'-,h the latest edition of ANNSUAHRI 2101240 with Addenda I and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heati- Pump Equipment and subject to rating accuracy by AH Rol -sponsored, independent, third party testing: Cooling Capcacity (A2) - Single'. or High Stage (95F), bt-uh : 39500 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 accoMMarried b indicate an involuntary re -rate. The new, lished ratina is shown,alon.g_with ,the previous (i.e. rat ing. 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 vin,,, 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 form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this cartifle-nka can he verified at www-nh rid i reetory-org, cHck on I'Vorify Cortif leatell link we make life betterTM 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. 132090616161451886 @2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: