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: To Select from dropbox, click arrow at the end of line
Ao
A
3L19S" Address: �3t 64,
Lc Legal Description.- [�JVE-k, A K* �K '-Q tJ i3- ' �� � '. �
Property Tax I D #: c)
Lot No.
Site Plan Name-, Block No.
Project Name:
13:
Setbacks Front Back: Right Side: Left Side.-
ox'j
k-Z C&,J
Total Sq. Ft of Construction: Sc. Ft. of First Floor:
Cost of Construction.- Utilities: --]Sewer Septic Building Height.-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company-
L'
0�' L
Ac secvf�
Address-, "'?L , # I 11
3z UJ doveck4n+# '-1e."
city: JX C ke, State
Zip Code-, 3q9l Fax. Ca__q8q __3S11
Phone No.,
E-Mail,- 1,40 Weel V tjc'e C-C7 60
A(z 1 % i 6 13 State or County License, C 1
IT Value or construction is �z5uu or more.. a RECORDED Notice of Commencement is required.
Zv7Z,
T V
L'C0NTRUC0L1E\LAW�L[LKIOUVjz TA,7NIFR�ON17
DESIGNER/ENGINEER:
Name:.
Not Appkab—le MORTGAGE COMPANY: Not Applicable
Name:
Address.,
Address:
City:
State, City:
a
Zip* Phone
Zip: Phone,, --.—State:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
6
Name.
Name:
Address.-
Address,
City:
City:_
Zip. Phone.,
Zip: Phone.-
OWNER/ CONTRACTOR AFFIDVIT', Application is hereby made to obtain a permit to do the or 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 COMMENRECORDED
CEMENT MUST BE RECOED AND
POSTED OKI 120K JOB SITE BEFORE THE FIRST INSPECTIONs IF W - INTEND TO OBTAIN FINANCING, CONSULT
WITH YOOR LElib,ER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF COMMENCEMENT,"
Signature of OWner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA f> C+ L UC
COUNTY OF
The forgoing instrument was acknowledged before me
I
this Z73 day of _k5"±e,-mb--CrA 20J(by
Signature of Contractor/License Holder
STATE OF FLORIDA �
0,
COUNTY OF U
The forgoing instrument was acknowledged before me
Y
this day of 70 . by
uqv 'i
Name of person making statement. Name of person making statement,
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
'i
(Signa
law Notary Public State of Florida
A%, - - - Ff#
Comm! Jennifer I Aquiar
%3
:014 GG 33.,745ea
I
ExPites 05/2912023
ON 4 A 0%
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
I
ev,
L A1111i, Alk, Ak AOL AML AL AhL
Notary Public State :ofFlo7
Florida
Jennifer I Aguiar
n ;N% Commissio;1 (Seal)
E 'res 05/29/2023 33-87
xpf
SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved.
Property identification
Site A ddres s:
Parcel ID:
Account
Map ID:
Use Type:
Zoning.
City/County:
Ownership
June B Austell (LF EST)
252 Cloverleaf RD
Lake Placid, FL 33852
Legal Description
RIVER PARK -UNIT 9 -PART C BLK 79 LOT 12 (MAP 34/21 S) (OR
1266-2789: 1716-462: 3782-2468)
Current Values
Just/Market Value:
$98,300
Assessed Value:
$72,007
Exemptions:
$0
Taxable Value:
$72N7
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future
taxes.
• The sale of a property will prompt the removal of
all exemptions, assessment caps, and special
classifications.
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel- Download PDF 92
253 NE MAINSAIL ST
3419-570-0068-000-1
43489
34/21S
0100
RS-4 Count
Saint Lucie County
Total Areas
Finished/Under Air (SF): 912
Gross Sketched Area (SF): 1,260
Land Size (acres): 0.2
Land Size (SF): 800
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
C Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
16 -M
40 I L1114 im L�r
AHRI Certified Reference Number: 201281652 Date : 09-23-2019 Model Status: Active
Old AHRI Reference Number: 7941343
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package): RA1 630AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler): RH1T3617STAN
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 RUUD 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 : 29000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
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.
Ratin@s that are accom,2anied bg WAS indicate an involuntaQue-rate. The new published ratip is shown along ratina.
�__M_ MM 40-9a
,q )yith the previous (i.e. WAS
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
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 certificate can be verified at wwwahridirectory.org, click on "Verify Certificate" link we 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.
@2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132137326977345093
AHRI Certified Reference Number: 201281652 Date : 09-23-2019 Model Status: Active
Old AHRI Reference Number: 7941343
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package): RA1 630AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler): RH 1 T3617STAN
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, Rl, 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 RUUD 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 : 29000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
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 prod u ced. "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratin@s that are accomr)an,ied bg WAS indicate an involuala "re -rate. The new Rublished rating is shown, alono with the gr2vious i.e. WASrating.
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.ahridir.ec-tory.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;
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 certificate can be verified at www.ahridiwectory.org, click on "Verify Certificate" link we 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.
@)2019Air-Conditioning, Heating, and Refrigeration Institute i CERTIFICATE NO.: 132137326977345093