HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ig Permit Number:
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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
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID 11:
Site Plan Name:I�
Project Name: Sl
Setbacks Front Back:
- 0A0 -- 000 - D
Right Side: Left Side:
Replace AC, exact change out with ton, SEER, KW AC unit
910
Lot No. k
13
CONSTRUCTION INFORMATION:
Additional work to be erformed un ert is permit - checic 511 apply:
JKHVAC Gas Tank Gas Piping In Shutters Windows/Doors
11 Electric Plumbing Sprinklers 12
Generator L1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ _U 0 d
S . Ft. of First Floor: _
Utilities: Sewer Li Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Le6iiWei-
Name: Dennis Zacek
f?i
AddressAil&f
Company: ARS American Residential Services
City:State: -
Address: 2800 US Hwy 1
Zip Code: 3 (P &a Fax:
City: Vero Beach State: FL
Phone No. ca_
Zip Code: 32960 Fax:
E-Mail: —
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License: CMC1249753
It Vatur: vt wnszrucnon is �ocsuu or more, a KtLVKutU Notice or Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: " Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
commencing; work or recordine vour Notice of Commencement.
_ Signature of O er/ Lessee/Alter-.t - Signature of Contra r/Licens`e Holder
STATE OF FLORIDA
COUNTY OF stLurJe
The forSping instr t as acknowledge fore me
this day of V. 20 LLby
Dennis Zacek
am of person ackn wledging )
nature of Not ic- tate of Norida I
STATE OF FLORIDA
COUNTY OF sl Luria
The forgoing instrum nt as acknowledged efare me
this -.T7 day of 20 aby
Dennis Zacek
INa a of erson acknow edging I
(Signature of Notary%b'?'Pc'-rtrte_o?`-Werida j
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. 411ftbd I 5_3 (Seal) I Commission No. (Seal)
MY COMMISSION # GG0715: 5 ! , My COMMISSION # GG071535
Revised 07/I5/2014 '%?;, EXPIRES February 09, 2021 Ir ., EXPIRES February 09, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratinas
AHRI Certified Reference Number: 9511931 Date: 11-05-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: 14 SEER AC
Outdoor Unit Brand Name. PAYNE HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : PA14NC048"0""A'
Indoor Unit Model Number (Evaporator and/or Air Handier). FB4CNF048L
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 PAYNE HEATING AND COOLING product is responsible for the rating of this system combination.
Rated as follows In accordance with the latest edition of ANSI/AHRI 210f240 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 : 43500
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
-rAclive" 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 Slopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
selling or offering for sale,
Raiings that are accompanied by WAS indicate an Involuntary m!rate. The new Published retlnq Is shown atonq with the previous (i.e. WAS) retina.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantles or guarantees as to, and assumes no responsibility for,
the product(s) listed an 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.ahfldlrectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
confidentlat 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 utllized, in any form or manner or by arry means, except for the user's Individual, AM
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.ahridirectury.o►g, ellck 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.
m2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132174442434640895
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
Mark A Schneider
Leslie A Schneider
5106 Citrus Ave
Fort Pierce, FL 34982
Legal Description
WHITE CITY BLK 42 LOTS 12 AND 13 ANDS 10 FT VAC ALLEY ADJ ON
N (0.285 AC) (OR 3269-307)
Current Values
Just/Market Value: S122,500
Assessed Value: s76,425
Exemptions: so
Taxable Value; $76,425
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 Collectoes Office 0
Download TRIM for this parcel: Download PDF 0
5106 CITRUS AVE
3404-501-0269-000-0
136812
34;04S
0100
RS-3 - Cou
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,798
Gross Sketched Area (SF): 2,164
Land Size (acres): 0.29
Land Size (SF): 12,632.4
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
® Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.